Kizziar, Deborah L
Kizziar, Deborah L is an individual health care provider with primary practice located at 123 W Francis Ave , Spokane WA 99205-6348. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Kizziar, Deborah L can be contacted via phone (509) 928-8800.Contact Information
Primary practice address
123 W Francis Ave
Spokane WA 99205-6348
Phone: (509) 928-8800
Fax: (509) 321-0154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 8428 | Washington |
Profile Details
| NPI number | 1417953100 |
|---|---|
| LBN Legal business name | Kizziar, Deborah L |
| Credentials | D.D.S., M.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| 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 | 1417953100 | NPPES |
| Washington | MEDICAID | 5032628 |
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