Cheslock, Ian Matthew
Cheslock, Ian Matthew is an individual health care provider with primary practice located at 950 11Th Ave , Longview WA 98632-2504. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cheslock, Ian Matthew can be contacted via phone (360) 577-1500.Contact Information
Primary practice address
950 11Th Ave
Longview WA 98632-2504
Phone: (360) 577-1500
Fax: (360) 425-0735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 61169322 | Washington |
Profile Details
| NPI number | 1003580762 |
|---|---|
| LBN Legal business name | Cheslock, Ian Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2021 |
| Last updated | Aug 5th, 2021 - about 4 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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