Kimmel, Joseph Brandon

Kimmel, Joseph Brandon is an sole proprietor health care provider with primary practice located at 806 Yelm Ave E # 7 , Yelm WA 98597-9424. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Kimmel, Joseph Brandon can be contacted via phone (360) 704-9070.

Contact Information

Primary practice address
806 Yelm Ave E # 7 Yelm WA 98597-9424
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN60737872 Washington
Dental Providers / Denturist 122400000X

Profile Details

NPI number 1740700145
LBN Legal business name Kimmel, Joseph Brandon
Credentials LICENSED DENTURIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2017
Last updated Mar 14th, 2024 - about 9 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740700145 NPPES
Washington Other DN60737872 DENTURIST LICENSE

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