Dreessen, Marvin Duane
Dreessen, Marvin Duane is an individual health care provider with primary practice located at 2068 Se Sedgwick Road , Port Orchard WA 98366-9502. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dreessen, Marvin Duane can be contacted via phone (360) 876-2550.Contact Information
Primary practice address
2068 Se Sedgwick Road
Port Orchard WA 98366-9502
Phone: (360) 876-2550
Fax: (360) 876-2556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 788 | Washington |
Profile Details
| NPI number | 1619032414 |
|---|---|
| LBN Legal business name | Dreessen, Marvin Duane |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Jul 8th, 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 | 1619032414 | NPPES |
| Washington | Other | 00913501 | GROUP HEALTH |
| Washington | Other | 12646 | GROUP HEALTH |
| Washington | MEDICAID | 2237501 | GROUP HEALTH |
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