Pohl, Brock Dustin
Pohl, Brock Dustin is an individual health care provider with primary practice located at 308 E. Young St. , Elma WA 98541. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Pohl, Brock Dustin can be contacted via phone (360) 482-2674.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP60568430 | Washington |
Profile Details
| NPI number | 1265945489 |
|---|---|
| LBN Legal business name | Pohl, Brock Dustin |
| Credentials | CDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2017 |
| Last updated | Nov 9th, 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 | 1265945489 | NPPES |
| Washington | MEDICAID | CP60568430 |
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