White, Brian Tyrell

White, Brian Tyrell is an individual health care provider with primary practice located at 1007 Koala Dr , Omak WA 98841-9247. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. White, Brian Tyrell can be contacted via phone (509) 826-6191.

Contact Information

Primary practice address
1007 Koala Dr Omak WA 98841-9247
Fax: (509) 826-3029
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X CG60878786 Washington

Profile Details

NPI number 1396218566
LBN Legal business name White, Brian Tyrell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2019
Last updated Jan 9th, 2019 - about 7 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.

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