Soderstrom, Scott

Soderstrom, Scott is an sole proprietor health care provider with primary practice located at 101 W Cascade Way Suite 200, Spokane WA 99208-6003. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Soderstrom, Scott can be contacted via phone (509) 467-5202.

Contact Information

Primary practice address
101 W Cascade Way Suite 200 Spokane WA 99208-6003
Phone: (509) 467-5202
Fax: (509) 466-0518
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00008668 Washington

Profile Details

NPI number 1457326878
LBN Legal business name Soderstrom, Scott
Credentials D D S P C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2006
Last updated Jan 29th, 2024 - about 10 months 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 1457326878 NPPES
Washington MEDICAID 5037479
Washington Other DE00008668
Washington Other 21933
Washington Other 602-040-560
Washington Other 1287SO
Washington Other 0150532
Washington Other 174980063
Washington Other 91-2051287

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