Fawcett, Brian P.

Fawcett, Brian P. is an individual health care provider with primary practice located at 1405 Delaware St , Longview WA 98632-2326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Fawcett, Brian P. can be contacted via phone (360) 414-2329.

Contact Information

Primary practice address
1405 Delaware St Longview WA 98632-2326
Phone: (360) 414-2329
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X MD00049070 Washington

Profile Details

NPI number 1861559304
LBN Legal business name Fawcett, Brian P.
Credentials M.D. / M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Mar 3rd, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861559304 NPPES
Washington Other MD00049070 STATE LICENSE

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