Wiederrich, Robin Richard
Wiederrich, Robin Richard is an sole proprietor health care provider with primary practice located at 9323 Mckenna Falls Rd W , Bremerton WA 98312-9730. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Wiederrich, Robin Richard can be contacted via phone (360) 277-0964.Contact Information
Primary practice address
9323 Mckenna Falls Rd W
Bremerton WA 98312-9730
Phone: (360) 277-0964
Fax: (360) 277-0967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | DN00000371 | Washington |
Profile Details
| NPI number | 1518134006 |
|---|---|
| LBN Legal business name | Wiederrich, Robin Richard |
| Credentials | D.P.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2008 |
| Last updated | May 13th, 2008 - about 18 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 | 1518134006 | NPPES |
| Washington | MEDICAID | 5046198 |
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