Chudner, Benjamin Scott

Chudner, Benjamin Scott is an individual health care provider with primary practice located at 3309 Perry Ave , Bremerton WA 98310-5355. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chudner, Benjamin Scott can be contacted via phone (360) 377-7788.

Contact Information

Primary practice address
3309 Perry Ave Bremerton WA 98310-5355
Phone: (360) 377-7788
Fax: (360) 377-0472
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3423TX Washington

Profile Details

NPI number 1063416485
LBN Legal business name Chudner, Benjamin Scott
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Feb 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063416485 NPPES
Washington Other 410047984 RAILROAD MEDICARE PIN
Washington MEDICAID 2021657 RAILROAD MEDICARE PIN

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