Strafford, Brereton B

Strafford, Brereton B is an individual health care provider with primary practice located at 122 3Rd St Ne , Auburn WA 98002-4013. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Strafford, Brereton B can be contacted via phone (253) 833-7750.

Contact Information

Primary practice address
122 3Rd St Ne Auburn WA 98002-4013
Fax: (253) 833-7469
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00029682 Washington

Profile Details

NPI number 1407834641
LBN Legal business name Strafford, Brereton B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Feb 14th, 2020 - about 5 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 1407834641 NPPES
Washington Other GAB38444 MEDICARE LEGACY
Washington Other 1077536 MEDICARE LEGACY
Washington Other 5677ST MEDICARE LEGACY
Washington Other 172907 MEDICARE LEGACY

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