Brain, George Calvin
Brain, George Calvin is an individual health care provider with primary practice located at 1901 S Union Ave B-3008, Tacoma WA 98405-1702. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Brain, George Calvin can be contacted via phone (253) 572-9777.Contact Information
Primary practice address
1901 S Union Ave B-3008
Tacoma WA 98405-1702
Phone: (253) 572-9777
Fax: (253) 627-6766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DE00003551 | Washington |
Profile Details
| NPI number | 1407043367 |
|---|---|
| LBN Legal business name | Brain, George Calvin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2007 |
| Last updated | Sep 25th, 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 | 1407043367 | NPPES |
| Washington | MEDICAID | 5031455 |
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