Cheslock, James Patrick
Cheslock, James Patrick is an sole proprietor health care provider with primary practice located at 1817 Meade St , North Bend OR 97459-3442. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cheslock, James Patrick can be contacted via phone (541) 756-2727.Contact Information
Primary practice address
1817 Meade St
North Bend OR 97459-3442
Phone: (541) 756-2727
Fax: (541) 756-7064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1820ATI | Oregon |
Profile Details
| NPI number | 1588720031 |
|---|---|
| LBN Legal business name | Cheslock, James Patrick |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | May 7th, 2010 - about 15 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 | 1588720031 | NPPES |
| Oregon | MEDICAID | 143693 |
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