Bennett, Mckenzie Jolie Ann
Bennett, Mckenzie Jolie Ann is an sole proprietor health care provider with primary practice located at 700 Sleater Kinney Rd Se Ste E , Lacey WA 98503-1113. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Bennett, Mckenzie Jolie Ann can be contacted via phone (253) 209-4295.Contact Information
Primary practice address
700 Sleater Kinney Rd Se Ste E
Lacey WA 98503-1113
Phone: (253) 209-4295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 60389139 | Washington |
Profile Details
| NPI number | 1225782428 |
|---|---|
| LBN Legal business name | Bennett, Mckenzie Jolie Ann |
| Credentials | LDO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2022 |
| Last updated | Mar 16th, 2022 - about 2 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 | 1225782428 | NPPES |
| Washington | Other | DO60389139 | DISPENSING OPTICIANS LICENSE |
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