Rust, Brynna
Rust, Brynna is an individual health care provider with primary practice located at 2381 Ne Conners Ave , Bend OR 97701-6068. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Rust, Brynna can be contacted via phone (888) 868-0022.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H6967 | Oregon |
Profile Details
| NPI number | 1245603695 |
|---|---|
| LBN Legal business name | Rust, Brynna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2015 |
| Last updated | Nov 6th, 2015 - about 10 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 | 1245603695 | NPPES |
| Oregon | MEDICAID | H6967 |
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