Oconnor, Nathan Andrew

Oconnor, Nathan Andrew is an individual health care provider with primary practice located at 1015 So 40Th Ave Suite 15, Yakima WA 98908-3867. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Oconnor, Nathan Andrew can be contacted via phone (509) 966-0660.

Contact Information

Primary practice address
1015 So 40Th Ave Suite 15 Yakima WA 98908-3867
Fax: (509) 965-0417
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10492 Washington

Profile Details

NPI number 1760524276
LBN Legal business name Oconnor, Nathan Andrew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 18 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 1760524276 NPPES
Washington MEDICAID 5051057

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