Brown, Charles Ivan

Brown, Charles Ivan is an sole proprietor health care provider with primary practice located at 16550 177Th Avenue Se Twin Rivers Unit, Monroe WA 98272. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Brown, Charles Ivan can be contacted via phone (360) 794-2451.

Contact Information

Primary practice address
16550 177Th Avenue Se Twin Rivers Unit Monroe WA 98272
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4215 South Carolina

Profile Details

NPI number 1649292939
LBN Legal business name Brown, Charles Ivan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jul 18th, 2013 - about 11 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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