Child, Brent Lynn

Child, Brent Lynn is an sole proprietor health care provider with primary practice located at 10121 N Nevada St Suite 101, Spokane WA 99218-3120. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Child, Brent Lynn can be contacted via phone (509) 468-1685.

Contact Information

Primary practice address
10121 N Nevada St Suite 101 Spokane WA 99218-3120
Fax: (509) 468-8318
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE9407 Washington

Profile Details

NPI number 1518949387
LBN Legal business name Child, Brent Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2005
Last updated Jul 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518949387 NPPES
Washington MEDICAID 5046040

Popular Providers