Buchanan, Wiilard Earl
Buchanan, Wiilard Earl is an individual health care provider with primary practice located at 1135 Bethel Ave , Pt Orchard WA 98366-3125. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Buchanan, Wiilard Earl can be contacted via phone (360) 895-2020.Contact Information
Primary practice address
1135 Bethel Ave
Pt Orchard WA 98366-3125
Phone: (360) 895-2020
Fax: (360) 874-0048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00001118 | Washington |
Profile Details
| NPI number | 1699763219 |
|---|---|
| LBN Legal business name | Buchanan, Wiilard Earl |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Jul 8th, 2007 - 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 | 1699763219 | NPPES |
| Washington | MEDICAID | 2023539 |
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