Shaffer, Brian Todd
Shaffer, Brian Todd is an individual health care provider with primary practice located at 3011 Columbia Street , Vancouver WA 98660-2237. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shaffer, Brian Todd can be contacted via phone (360) 693-1291.Contact Information
Primary practice address
3011 Columbia Street
Vancouver WA 98660-2237
Phone: (360) 693-1291
Fax: (360) 693-3392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5980 | Washington |
Profile Details
| NPI number | 1346302007 |
|---|---|
| LBN Legal business name | Shaffer, Brian Todd |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 9th, 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 | 1346302007 | NPPES |
| Washington | MEDICAID | 5095807 |
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