Brown, Charles R

Brown, Charles R is an sole proprietor health care provider with primary practice located at 19365 7Th Ave Ne Bldg D Suite 108, Poulsbo WA 98370-7441. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Brown, Charles R can be contacted via phone (360) 779-7115.

Contact Information

Primary practice address
19365 7Th Ave Ne Bldg D Suite 108 Poulsbo WA 98370-7441
Fax: (360) 779-3990
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4905 Washington

Profile Details

NPI number 1396890810
LBN Legal business name Brown, Charles R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396890810 NPPES
Washington MEDICAID 5003603

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