Bae, Tae H
Bae, Tae H is an sole proprietor health care provider with primary practice located at 8718 S Tacoma Way Ste C , Lakewood WA 98499-4597. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Bae, Tae H can be contacted via phone (253) 301-2358.Contact Information
Primary practice address
8718 S Tacoma Way Ste C
Lakewood WA 98499-4597
Phone: (253) 301-2358
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | DO 00002034 | Washington |
Profile Details
| NPI number | 1508231044 |
|---|---|
| LBN Legal business name | Bae, Tae H |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2015 |
| Last updated | Dec 9th, 2015 - about 9 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 | 1508231044 | NPPES |
| Washington | Other | DO 00002034 | OPTICIAN DISPENSING LICENSE |
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