Scudder, Fenris
Scudder, Fenris is an sole proprietor health care provider with primary practice located at 3100 Se Old Olympic Hwy , Shelton WA 98584-7731. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Scudder, Fenris can be contacted via phone (360) 427-1784.Contact Information
Primary practice address
3100 Se Old Olympic Hwy
Shelton WA 98584-7731
Phone: (360) 427-1784
Fax: (360) 427-1818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE00007430 | Washington |
Profile Details
| NPI number | 1053501668 |
|---|---|
| LBN Legal business name | Scudder, Fenris |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Jul 30th, 2007 - about 18 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 | 1053501668 | NPPES |
| Washington | Other | 5027990 | DSHS PROVIDER NUMBER |
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