Phillips, Sandra D

Phillips, Sandra D is an individual health care provider with primary practice located at 800 West Maple Street , Medical Lake WA 99022-0800. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Phillips, Sandra D can be contacted via phone (509) 565-4000.

Contact Information

Primary practice address
800 West Maple Street Medical Lake WA 99022-0800
Fax: (509) 565-7015
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH00007167 Washington

Profile Details

NPI number 1184955874
LBN Legal business name Phillips, Sandra D
Credentials DH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2010
Last updated Jan 20th, 2010 - about 15 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 1184955874 NPPES
Washington Other DH00007167 DENTAL HYGIENE LICENSE

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