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
Fax: (541) 756-7064
Website:

Health care specialties

SpecialtyCodeLicense #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 14 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 1588720031 NPPES
Oregon MEDICAID 143693

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