Converse, Jon Charles
Converse, Jon Charles is an individual health care provider with primary practice located at 10516 Silverdale Way Nw Ste 104 , Silverdale WA 98383-8745. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Converse, Jon Charles can be contacted via phone (360) 307-7400.Contact Information
Primary practice address
10516 Silverdale Way Nw Ste 104
Silverdale WA 98383-8745
Phone: (360) 307-7400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3170TX | Washington |
Profile Details
| NPI number | 1356523807 |
|---|---|
| LBN Legal business name | Converse, Jon Charles |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Apr 5th, 2021 - about 3 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 | 1356523807 | NPPES |
| Washington | MEDICAID | 2019263 |
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