Andelin, Robert Paul

Andelin, Robert Paul is an individual health care provider with primary practice located at 1921 W Sylvester St , Pasco WA 99301-4850. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Andelin, Robert Paul can be contacted via phone (509) 547-1791.

Contact Information

Primary practice address
1921 W Sylvester St Pasco WA 99301-4850
Fax: (509) 547-4383
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00009373 Washington

Profile Details

NPI number 1407957319
LBN Legal business name Andelin, Robert Paul
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 9th, 2007 - about 17 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 1407957319 NPPES
Washington MEDICAID 5041835

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