Bratlie, John L

Bratlie, John L is an individual health care provider with primary practice located at 916 Koala Ave , Omak WA 98841-9576. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Bratlie, John L can be contacted via phone (509) 826-1800.

Contact Information

Primary practice address
916 Koala Ave Omak WA 98841-9576
Phone: (509) 826-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X DO00000500 Washington

Profile Details

NPI number 1033356035
LBN Legal business name Bratlie, John L
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2009
Last updated Mar 23rd, 2012 - about 13 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 1033356035 NPPES
Washington Other 0244743 L&I

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