Fraire, Dolores Mae
Fraire, Dolores Mae is an individual health care provider with primary practice located at 1635 Olympic Hwy N Ste 102, Shelton WA 98584-3065. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fraire, Dolores Mae can be contacted via phone (360) 427-7553.Contact Information
Primary practice address
1635 Olympic Hwy N Ste 102
Shelton WA 98584-3065
Phone: (360) 427-7553
Fax: (360) 426-2033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3108 | Washington |
Profile Details
| NPI number | 1033103221 |
|---|---|
| LBN Legal business name | Fraire, Dolores Mae |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Aug 2nd, 2016 - about 9 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 | 1033103221 | NPPES |
| Washington | MEDICAID | AB19883 |
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