Self, Mckinley T
Self, Mckinley T is an sole proprietor health care provider with primary practice located at 9902 Ne Monsaas Rd , Bainbridge Island WA 98110-1103. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Self, Mckinley T can be contacted via phone (360) 464-0779.Contact Information
Primary practice address
9902 Ne Monsaas Rd
Bainbridge Island WA 98110-1103
Phone: (360) 464-0779
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | DE00010260 | Washington |
Dental Providers / Dentist | 122300000X | 5091 | Nevada |
Profile Details
NPI number | 1518007723 |
---|---|
LBN Legal business name | Self, Mckinley T |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 7th, 2007 |
Last updated | May 20th, 2014 - about 11 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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