Hazelton, Brandie
Hazelton, Brandie is an sole proprietor health care provider with primary practice located at 5415 Ne 54Th Ave , Vancouver WA 98661-2165. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Hazelton, Brandie can be contacted via phone (360) 609-4170.Contact Information
Primary practice address
5415 Ne 54Th Ave
Vancouver WA 98661-2165
Phone: (360) 609-4170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 93-0798039 | Washington |
Profile Details
| NPI number | 1528303708 |
|---|---|
| LBN Legal business name | Hazelton, Brandie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2012 |
| Last updated | Nov 29th, 2012 - about 13 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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