Agnor, David W
Agnor, David W is an individual health care provider with primary practice located at 9340 Ne 76Th St , Vancouver WA 98662-3721. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Agnor, David W can be contacted via phone (360) 253-4912.Contact Information
Primary practice address
9340 Ne 76Th St
Vancouver WA 98662-3721
Phone: (360) 253-4912
Fax: (360) 253-5710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00001983 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-444 | Hawaii |
Profile Details
| NPI number | 1114971462 |
|---|---|
| LBN Legal business name | Agnor, David W |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jul 9th, 2007 - 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 | 1114971462 | NPPES |
| Washington | MEDICAID | 7089816 |
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