Fosso, Cecily M.

Fosso, Cecily M. is an individual health care provider with primary practice located at 3106 Northwest Ave , Bellingham WA 98225-1608. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Fosso, Cecily M. can be contacted via phone (360) 647-7766.

Contact Information

Primary practice address
3106 Northwest Ave Bellingham WA 98225-1608
Fax: (360) 715-8780
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH00004296 Washington

Profile Details

NPI number 1801931118
LBN Legal business name Fosso, Cecily M.
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jan 18th, 2011 - about 14 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 1801931118 NPPES
Washington MEDICAID 5900295

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