Pawlak, Derek T
Pawlak, Derek T is an individual health care provider with primary practice located at 161 Bay Lyn Dr , Lynden WA 98264-9404. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Pawlak, Derek T can be contacted via phone (360) 318-0880.Contact Information
Primary practice address
161 Bay Lyn Dr
Lynden WA 98264-9404
Phone: (360) 318-0880
Fax: (360) 318-0880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | 025108DN00000270 | Washington |
Profile Details
| NPI number | 1477548766 |
|---|---|
| LBN Legal business name | Pawlak, Derek T |
| Credentials | LD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jul 8th, 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 | 1477548766 | NPPES |
| Washington | Other | 025108DN00000270 | DEPT OF HEALTH |
| Washington | MEDICAID | 5036017 | DEPT OF HEALTH |
Popular Providers
-
Reznick, Paul
2703 Delta Oaks Dr , Eugene OR 97408-1700 -
Hill, David Alan
7902 27Th St W Ste 7A , University Place WA 98466-3431 -
Pecha, Lori Neurene
12501 S Keeney Rd , Spokane WA 99224-9205 -
Martin, Roger Paul
38 Moore Street , Hartland ME 04943 -
Gillispie, Michael
124 W Spruce St , Sequim WA 98382-3350 -
Disantis, William S.
210 S 11Th Ave Suite #45, Yakima WA 98902-3293 -
Coffey, Michael Matthew
616 E Front St , Port Angeles WA 98362-3320 -
Smith, Grant Andrew
2743 River Rd , Eugene OR 97404-2047