Clark, Christopher Inman
Clark, Christopher Inman is an sole proprietor health care provider with primary practice located at 100 4Th Ave N Suite 145, Seattle WA 98109-4905. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Clark, Christopher Inman can be contacted via phone (206) 728-7505.Contact Information
Primary practice address
100 4Th Ave N Suite 145
Seattle WA 98109-4905
Phone: (206) 728-7505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00003035TX | Washington |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | OD00003035TX | Washington |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | OD00003035TX | Washington |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | OD00003035TX | Washington |
Profile Details
| NPI number | 1265461594 |
|---|---|
| LBN Legal business name | Clark, Christopher Inman |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2006 |
| Last updated | May 21st, 2008 - about 17 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 | 1265461594 | NPPES |
| Washington | Other | CL4555 | REGENCE WA HEALTH |
| Washington | Other | 143253 | REGENCE WA HEALTH |
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