1851433122 NPI number — STUART H. RICH DDS PS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851433122 NPI number — STUART H. RICH DDS PS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STUART H. RICH DDS PS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851433122
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1417 199TH AVE E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKE TAPPS
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98391-9384
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-236-5240
Provider Business Mailing Address Fax Number:
866-861-6286

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4798 AUBURN WAY N
Provider Second Line Business Practice Location Address:
SUITE 106
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98002-1501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-236-5240
Provider Business Practice Location Address Fax Number:
866-861-6286
Provider Enumeration Date:
02/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RICH
Authorized Official First Name:
STUART
Authorized Official Middle Name:
HAROLD
Authorized Official Title or Position:
PRESIDENT. DBA SLEEP SOLUTIONS NW
Authorized Official Telephone Number:
253-350-1345

Provider Taxonomy Codes

  • Taxonomy code: 122300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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