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:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 1861559304 | NPPES |
| Washington | Other | MD00049070 | STATE LICENSE |
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