Ashbaker, Jonathan Charles

Ashbaker, Jonathan Charles is an individual health care provider with primary practice located at 8217 E Mill Plain Blvd , Vancouver WA 98664-2004. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ashbaker, Jonathan Charles can be contacted via phone (360) 695-3829.

Contact Information

Primary practice address
8217 E Mill Plain Blvd Vancouver WA 98664-2004
Fax: (360) 695-7718
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD 3779 Washington

Profile Details

NPI number 1639152580
LBN Legal business name Ashbaker, Jonathan Charles
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jan 11th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639152580 NPPES
Washington MEDICAID 2027217

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