Mengert, James Richard

Mengert, James Richard is an individual health care provider with primary practice located at 1004 S Monroe Ste 100, Spokane WA 99204. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mengert, James Richard can be contacted via phone (509) 838-5597.

Contact Information

Primary practice address
1004 S Monroe Ste 100 Spokane WA 99204
Fax: (509) 838-7195
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5948 Washington

Profile Details

NPI number 1992852479
LBN Legal business name Mengert, James Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992852479 NPPES
Washington MEDICAID 5096300

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