Whisenant, Samuel Edward
Whisenant, Samuel Edward is an sole proprietor health care provider with primary practice located at 25052 104Th Ave Se Suite G, Kent WA 98030-6853. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Whisenant, Samuel Edward can be contacted via phone (253) 813-8000.Contact Information
Primary practice address
25052 104Th Ave Se Suite G
Kent WA 98030-6853
Phone: (253) 813-8000
Fax: (253) 813-8007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | DN00000381 | Washington |
Profile Details
| NPI number | 1679799449 |
|---|---|
| LBN Legal business name | Whisenant, Samuel Edward |
| Credentials | L.D. D.P.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1679799449 | NPPES |
| Washington | Other | 5047857 | PROVIDER |
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