Folsom, Reid Alan
Folsom, Reid Alan is an individual health care provider with primary practice located at 1336 5Th St , Clarkston WA 99403-3314. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Folsom, Reid Alan can be contacted via phone (509) 758-5011.Contact Information
Primary practice address
1336 5Th St
Clarkston WA 99403-3314
Phone: (509) 758-5011
Fax: (509) 751-9125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE00007440 | Washington |
Profile Details
| NPI number | 1679672224 |
|---|---|
| LBN Legal business name | Folsom, Reid Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 9th, 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 | 1679672224 | NPPES |
| Washington | MEDICAID | 5021787 | |
| Washington | MEDICAID | 5007018 |
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