Brigman, Lance Dee
Brigman, Lance Dee is an individual health care provider with primary practice located at 1004 Fir St , Longview WA 98632-2527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brigman, Lance Dee can be contacted via phone (360) 423-6110.Contact Information
Primary practice address
1004 Fir St
Longview WA 98632-2527
Phone: (360) 423-6110
Fax: (360) 423-8078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00013785 | Washington |
Profile Details
| NPI number | 1235131590 |
|---|---|
| LBN Legal business name | Brigman, Lance Dee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Oct 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235131590 | NPPES |
| Washington | MEDICAID | 1104009 | |
| Washington | Other | 0014232 |
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