Brancheau, Brian Michael

Brancheau, Brian Michael is an sole proprietor health care provider with primary practice located at 4100 194Th St Sw Ste 209 , Lynnwood WA 98036-4613. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Brancheau, Brian Michael can be contacted via phone (206) 422-5083.

Contact Information

Primary practice address
4100 194Th St Sw Ste 209 Lynnwood WA 98036-4613
Phone: (206) 422-5083
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE 60306318 Washington
Dental Providers / Periodontics 1223P0300X DE60306318 Washington

Profile Details

NPI number 1407289457
LBN Legal business name Brancheau, Brian Michael
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2013
Last updated Feb 5th, 2019 - about 5 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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