Disantis, William S.
Disantis, William S. is an sole proprietor health care provider with primary practice located at 210 S 11Th Ave Suite #45, Yakima WA 98902-3293. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Disantis, William S. can be contacted via phone (509) 454-2273.Contact Information
Primary practice address
210 S 11Th Ave Suite #45
Yakima WA 98902-3293
Phone: (509) 454-2273
Fax: (509) 454-7901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | DN00000367 | Washington |
Profile Details
| NPI number | 1306902929 |
|---|---|
| LBN Legal business name | Disantis, William S. |
| Credentials | D.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306902929 | NPPES |
| Washington | MEDICAID | 5048293 | |
| Washington | Other | DN00000367 |
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