Atwood, Brodie Steven
Atwood, Brodie Steven is an sole proprietor health care provider with primary practice located at 1759 W Broadway St , Idaho Falls ID 83402-3045. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Atwood, Brodie Steven can be contacted via phone (208) 313-0520.Contact Information
Primary practice address
1759 W Broadway St
Idaho Falls ID 83402-3045
Phone: (208) 313-0520
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Dentist | 122300000X | D4289 | Idaho |
Profile Details
| NPI number | 1538399316 |
|---|---|
| LBN Legal business name | Atwood, Brodie Steven |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2009 |
| Last updated | Mar 24th, 2011 - about 13 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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