Oh, Sam
Oh, Sam is an sole proprietor health care provider with primary practice located at 5929 Evergreen Way Suite 101, Everett WA 98203-6031. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Oh, Sam can be contacted via phone (360) 659-8548.Contact Information
Primary practice address
5929 Evergreen Way Suite 101
Everett WA 98203-6031
Phone: (360) 659-8548
Fax: (360) 659-8548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10691 | Washington |
Profile Details
| NPI number | 1376548685 |
|---|---|
| LBN Legal business name | Oh, Sam |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Mar 15th, 2017 - about 7 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 | 1376548685 | NPPES |
| Washington | MEDICAID | 1306074356 |
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