Imholte, Richard R
Imholte, Richard R is an individual health care provider with primary practice located at 409 W Main St Twin City Dental, Kelso WA 98626-1117. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Imholte, Richard R can be contacted via phone (360) 577-1153.Contact Information
Primary practice address
409 W Main St Twin City Dental
Kelso WA 98626-1117
Phone: (360) 577-1153
Fax: (360) 425-1540
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 4754 | Washington |
Profile Details
NPI number | 1043331184 |
---|---|
LBN Legal business name | Imholte, Richard R |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2007 |
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 | 1043331184 | NPPES |
Washington | Other | 5500905 | WA STATE D.S.H.S. |
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