Degooyer, Brett Reid
Degooyer, Brett Reid is an individual health care provider with primary practice located at 1550 S Pioneer Way Ste 350 , Moses Lake WA 98837-4618. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine is his primary health care specialty. Degooyer, Brett Reid can be contacted via phone (509) 793-9789.Contact Information
Primary practice address
1550 S Pioneer Way Ste 350
Moses Lake WA 98837-4618
Phone: (509) 793-9789
Fax: (509) 764-3266
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | OP60081051 | Washington |
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine | 204C00000X | OP60081051 | Washington |
Profile Details
NPI number | 1568477354 |
---|---|
LBN Legal business name | Degooyer, Brett Reid |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 30th, 2006 |
Last updated | Dec 19th, 2022 - about 3 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 | 1568477354 | NPPES |
Washington | MEDICAID | 2114835 |
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