Osborne, Clarence Lee
Osborne, Clarence Lee is an individual health care provider with primary practice located at 3631 Hoyt Ave , Everett WA 98201-4719. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Osborne, Clarence Lee can be contacted via phone (425) 259-5188.Contact Information
Primary practice address
3631 Hoyt Ave
Everett WA 98201-4719
Phone: (425) 259-5188
Fax: (425) 259-5189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3722 | Washington |
Profile Details
| NPI number | 1104000645 |
|---|---|
| LBN Legal business name | Osborne, Clarence Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2007 |
| Last updated | Dec 19th, 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 | 1104000645 | NPPES |
| Washington | MEDICAID | 5042112 |
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