Tatum, Carrie Ann
Tatum, Carrie Ann is an individual health care provider with primary practice located at 605 S Coolidge St , Moses Lake WA 98837-1893. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Tatum, Carrie Ann can be contacted via phone (509) 765-0674.Contact Information
Primary practice address
605 S Coolidge St
Moses Lake WA 98837-1893
Phone: (509) 765-0674
Fax: (509) 765-6591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00009098 | Washington |
Profile Details
| NPI number | 1285793398 |
|---|---|
| LBN Legal business name | Tatum, Carrie Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | May 13th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285793398 | NPPES |
| Washington | MEDICAID | 5040696 | |
| Washington | Other | 181185 |
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