Merchant, Fahra
Merchant, Fahra is an sole proprietor health care provider with primary practice located at 10518 S Tacoma Way Ste B , Tacoma WA 98499-5400. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Merchant, Fahra can be contacted via phone (253) 584-8840.Contact Information
Primary practice address
10518 S Tacoma Way Ste B
Tacoma WA 98499-5400
Phone: (253) 584-8840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE00009481 | Washington |
Profile Details
| NPI number | 1639224660 |
|---|---|
| LBN Legal business name | Merchant, Fahra |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 9th, 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 | 1639224660 | NPPES |
| Washington | MEDICAID | 5041355 |
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