Kirkpatrick, Steven Bruce

Kirkpatrick, Steven Bruce is an individual health care provider with primary practice located at 1105 14Th Avenue , Longview WA 98632-3016. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kirkpatrick, Steven Bruce can be contacted via phone (360) 425-8140.

Contact Information

Primary practice address
1105 14Th Avenue Longview WA 98632-3016
Fax: (360) 425-8145
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE00005719 Washington

Profile Details

NPI number 1508960006
LBN Legal business name Kirkpatrick, Steven Bruce
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508960006 NPPES
Washington MEDICAID 5003595

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