Schafer, Evan D

Schafer, Evan D is an individual health care provider with primary practice located at 4610 N Ash St Suite 102, Spokane WA 99205-1482. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Schafer, Evan D can be contacted via phone (509) 328-5721.

Contact Information

Primary practice address
4610 N Ash St Suite 102 Spokane WA 99205-1482
Phone: (509) 328-5721
Fax: (509) 328-0936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3994 Washington

Profile Details

NPI number 1205822939
LBN Legal business name Schafer, Evan D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Aug 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205822939 NPPES
Washington Other 3994 WASHINGTON STATE LICENCE
Washington MEDICAID 5380605 WASHINGTON STATE LICENCE

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