Stanfill, Bryan E

Stanfill, Bryan E is an individual health care provider with primary practice located at 140 S Arthur St Suite 510, Spokane WA 99202-2260. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Stanfill, Bryan E can be contacted via phone (509) 326-6996.

Contact Information

Primary practice address
140 S Arthur St Suite 510 Spokane WA 99202-2260
Fax: (509) 328-9919
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00008767 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X LH00008767 Washington

Profile Details

NPI number 1063496511
LBN Legal business name Stanfill, Bryan E
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated May 22nd, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063496511 NPPES
Washington MEDICAID 1114913

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