Crowell, Benjamin David
Crowell, Benjamin David is an individual health care provider with primary practice located at 17250 Southcenter Pkwy Ste 128 , Tukwila WA 98188-3351. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Crowell, Benjamin David can be contacted via phone (206) 575-6623.Contact Information
Primary practice address
17250 Southcenter Pkwy Ste 128
Tukwila WA 98188-3351
Phone: (206) 575-6623
Fax: (206) 691-8723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD60239366 | Washington |
Profile Details
| NPI number | 1316252190 |
|---|---|
| LBN Legal business name | Crowell, Benjamin David |
| Credentials | OD, FAAO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2010 |
| Last updated | Sep 30th, 2019 - about 5 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 | 1316252190 | NPPES |
| Washington | MEDICAID | 2047671 |
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