Bleazard, Rachael M
Bleazard, Rachael M is an individual health care provider with primary practice located at 1051 Columbia Ave , Connell WA 99326-8702. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bleazard, Rachael M can be contacted via phone (509) 488-5256.Contact Information
Primary practice address
1051 Columbia Ave
Connell WA 99326-8702
Phone: (509) 488-5256
Fax: (509) 488-9939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH60684821 | Washington |
Profile Details
| NPI number | 1396318713 |
|---|---|
| LBN Legal business name | Bleazard, Rachael M |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2021 |
| Last updated | Jul 22nd, 2021 - about 4 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 | 1396318713 | NPPES |
| Washington | Other | DH60684821 | DOH LICENSE |
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