Hermen, Lee Wardle
Hermen, Lee Wardle is an individual health care provider with primary practice located at 1057 12Th Ave , Longview WA 98632-2509. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Hermen, Lee Wardle can be contacted via phone (360) 414-1300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE 60013005 | Washington |
Profile Details
| NPI number | 1649336470 |
|---|---|
| LBN Legal business name | Hermen, Lee Wardle |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Oct 17th, 2023 - about last year |
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 | 1649336470 | NPPES |
| Washington | MEDICAID | 1092355 |
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