Cassill, Ellen Barbara
Cassill, Ellen Barbara is an sole proprietor health care provider with primary practice located at 18526 Driftwood Dr E , Lake Tapps WA 98391-9466. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Cassill, Ellen Barbara can be contacted via phone (253) 862-7819.Contact Information
Primary practice address
18526 Driftwood Dr E
Lake Tapps WA 98391-9466
Phone: (253) 862-7819
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH00002017 | Washington |
Profile Details
| NPI number | 1457543423 |
|---|---|
| LBN Legal business name | Cassill, Ellen Barbara |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2007 |
| Last updated | Aug 14th, 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 | 1457543423 | NPPES |
| Washington | MEDICAID | 5902058 |
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