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
Phone: (509) 326-6996
Fax: (509) 328-9919
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063496511 | NPPES |
Washington | MEDICAID | 1114913 |
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