Chen, Connie June

Chen, Connie June is an individual health care provider with primary practice located at 100 Ne Gilman Blvd , Issaquah WA 98027-2925. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Chen, Connie June can be contacted via phone (425) 557-8000.

Contact Information

Primary practice address
100 Ne Gilman Blvd Issaquah WA 98027-2925
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D74229 Maryland
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD60558894 Washington

Profile Details

NPI number 1578723326
LBN Legal business name Chen, Connie June
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2008
Last updated Sep 1st, 2015 - about 10 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 1578723326 NPPES
Maryland MEDICAID 056114200

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