Debolt, Brent M

Debolt, Brent M is an sole proprietor health care provider with primary practice located at 2314 E 13Th St , Vancouver WA 98661-4122. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Debolt, Brent M can be contacted via phone (503) 709-7122.

Contact Information

Primary practice address
2314 E 13Th St Vancouver WA 98661-4122
Phone: (503) 709-7122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP60203433 Washington

Profile Details

NPI number 1235434341
LBN Legal business name Debolt, Brent M
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2011
Last updated Jan 20th, 2011 - about 13 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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