Cranmore, Todd Alan

Cranmore, Todd Alan is an individual health care provider with primary practice located at 12911 120Th Ave Ne Suite C10, Kirkland WA 98034-3027. He recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as his primary health care specialty. Cranmore, Todd Alan can be contacted via phone (425) 823-1861.

Contact Information

Primary practice address
12911 120Th Ave Ne Suite C10 Kirkland WA 98034-3027
Fax: (425) 823-1522
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X OS00000017 Washington

Profile Details

NPI number 1215979836
LBN Legal business name Cranmore, Todd Alan
Credentials BCO
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Jul 8th, 2007 - about 18 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 1215979836 NPPES
Washington MEDICAID 9045758

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