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
Phone: (360) 695-3829
Fax: (360) 695-7718
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639152580 | NPPES |
Washington | MEDICAID | 2027217 |
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