Dorn, Ted L.
Dorn, Ted L. is an individual health care provider with primary practice located at 10516 Silverdale Way Nw Suite 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. Dorn, Ted L. can be contacted via phone (360) 692-3950.Contact Information
Primary practice address
10516 Silverdale Way Nw Suite 104
Silverdale WA 98383-8745
Phone: (360) 692-3950
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00000917 | Washington |
Profile Details
| NPI number | 1588721815 |
|---|---|
| LBN Legal business name | Dorn, Ted L. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | May 23rd, 2008 - about 16 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 | 1588721815 | NPPES |
| Washington | MEDICAID | 2031714 |
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