Baxstrom, Curtis R.
Baxstrom, Curtis R. is an individual health care provider with primary practice located at 1705 S 324Th Pl , Federal Way WA 98003-8504. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Baxstrom, Curtis R. can be contacted via phone (253) 661-6005.Contact Information
Primary practice address
1705 S 324Th Pl
Federal Way WA 98003-8504
Phone: (253) 661-6005
Fax: (253) 661-0633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1583TX | Washington |
Profile Details
| NPI number | 1699767285 |
|---|---|
| LBN Legal business name | Baxstrom, Curtis R. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jul 1st, 2010 - about 14 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 | 1699767285 | NPPES |
| Washington | MEDICAID | 2015261 |
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