Sebastian, Mark J
Sebastian, Mark J is an individual health care provider with primary practice located at 33516 9Th Ave S Westhill Court Bldg 2, Federal Way WA 98003-6322. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sebastian, Mark J can be contacted via phone (253) 941-6242.Contact Information
Primary practice address
33516 9Th Ave S Westhill Court Bldg 2
Federal Way WA 98003-6322
Phone: (253) 941-6242
Fax: (253) 952-2129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5374 | Washington |
Profile Details
| NPI number | 1477536027 |
|---|---|
| LBN Legal business name | Sebastian, Mark J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Jul 8th, 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 | 1477536027 | NPPES |
| Washington | Other | 0040673 | LABOR & INDUSTRIES |
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