Adams, Brendon K

Adams, Brendon K is an individual health care provider with primary practice located at 201 Highland Drive , Buena WA 98921. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Adams, Brendon K can be contacted via phone (509) 248-1800.

Contact Information

Primary practice address
201 Highland Drive Buena WA 98921
Phone: (509) 248-1800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP60566337 Washington

Profile Details

NPI number 1285103788
LBN Legal business name Adams, Brendon K
Credentials CP60566337
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2018
Last updated Nov 14th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285103788 NPPES
Washington MEDICAID 91-0755984

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