Anderson, Aaron Douglas
Anderson, Aaron Douglas is an sole proprietor health care provider with primary practice located at 6695 W Rio Grande Ave , Kennewick WA 99336-3301. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Anderson, Aaron Douglas can be contacted via phone (509) 736-0826.Contact Information
Primary practice address
6695 W Rio Grande Ave
Kennewick WA 99336-3301
Phone: (509) 736-0826
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3783 | Washington |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 734 | Montana |
Profile Details
| NPI number | 1891738795 |
|---|---|
| LBN Legal business name | Anderson, Aaron Douglas |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Mar 29th, 2024 - about last year |
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 | 1891738795 | NPPES |
| Montana | MEDICAID | 0482613 | |
| Montana | MEDICAID | 2094062 |
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