Osborne, Robert Alan

Osborne, Robert Alan is an individual health care provider with primary practice located at 17500 Se 392Nd St , Auburn WA 98092-9705. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Osborne, Robert Alan can be contacted via phone (253) 939-6648.

Contact Information

Primary practice address
17500 Se 392Nd St Auburn WA 98092-9705
Fax: (253) 735-6705
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6137 Washington

Profile Details

NPI number 1922010909
LBN Legal business name Osborne, Robert Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jun 17th, 2014 - about 11 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 1922010909 NPPES
Washington MEDICAID 5004270

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