Henricksen, J Scott
Henricksen, J Scott is an individual health care provider with primary practice located at 701 N 182Nd St Suite 102, Shoreline WA 98133-4402. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Henricksen, J Scott can be contacted via phone (206) 542-7600.Contact Information
Primary practice address
701 N 182Nd St Suite 102
Shoreline WA 98133-4402
Phone: (206) 542-7600
Fax: (206) 542-7727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5431 | Washington |
Profile Details
| NPI number | 1356458293 |
|---|---|
| LBN Legal business name | Henricksen, J Scott |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1356458293 | NPPES |
| Washington | Other | 5007703 | MAA |
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