National Provider Identifier Database

BRENT SISSOM, CRT – NPI #1730331240
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

BRENT SISSOM, CRT
1519 3RD ST SE
SUITE 103
PUYALLUP, WA98372-3742
Phone: 253-841-8939
Fax:
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for BRENT SISSOM

NPI Number 1730331240
Credentials CRT
Entity Individual
Enumeration date 10/15/2008
Last updated 10/15/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • WA License #: RT00003985
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BRENT SISSOM, CRT

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