Doherty, Rebecca E

Doherty, Rebecca E is an individual health care provider with primary practice located at 216 E 5Th St Ste A , Port Angeles WA 98362-3008. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Doherty, Rebecca E can be contacted via phone (360) 417-1244.

Contact Information

Primary practice address
216 E 5Th St Ste A Port Angeles WA 98362-3008
Fax: (360) 417-1245
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 1556 Washington

Profile Details

NPI number 1750846093
LBN Legal business name Doherty, Rebecca E
Credentials LDO
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2019
Last updated Jan 31st, 2019 - about 6 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 1750846093 NPPES
Washington Other WA1410 WA TEAMSTERS

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