Kaufman, Ethan Shagar

Kaufman, Ethan Shagar is an individual health care provider with primary practice located at 1230 7Th Ave , Longview WA 98632-3166. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kaufman, Ethan Shagar can be contacted via phone (360) 575-4801.

Contact Information

Primary practice address
1230 7Th Ave Longview WA 98632-3166
Phone: (360) 575-4801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00008840 Washington

Profile Details

NPI number 1124036686
LBN Legal business name Kaufman, Ethan Shagar
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 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.

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