Ellingsen, Richard C
Ellingsen, Richard C is an individual health care provider with primary practice located at 12109 E Broadway Ave Ste B , Spokane Valley WA 99206-6133. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Ellingsen, Richard C can be contacted via phone (509) 926-0570.Contact Information
Primary practice address
12109 E Broadway Ave Ste B
Spokane Valley WA 99206-6133
Phone: (509) 926-0570
Fax: (509) 921-9163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DE00006352 | Washington |
Profile Details
| NPI number | 1790013332 |
|---|---|
| LBN Legal business name | Ellingsen, Richard C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2009 |
| Last updated | Nov 19th, 2009 - about 15 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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