Tallman, Brian
Tallman, Brian is an individual health care provider with primary practice located at 505 Ne 87Th Ave Ste Ll10 , Vancouver WA 98664-1988. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Tallman, Brian can be contacted via phone (360) 256-0026.Contact Information
Primary practice address
505 Ne 87Th Ave Ste Ll10
Vancouver WA 98664-1988
Phone: (360) 256-0026
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | OI00000478 | Washington |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | PS60022981 | Washington |
Profile Details
NPI number | 1568637668 |
---|---|
LBN Legal business name | Tallman, Brian |
Credentials | CPO |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 29th, 2008 |
Last updated | Jun 29th, 2009 - about 15 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 | 1568637668 | NPPES |
Washington | MEDICAID | 8528762 |
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