Good, Adam Dale
Good, Adam Dale is an individual health care provider with primary practice located at 1906 N 20Th Ave , Pasco WA 99301-3393. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Good, Adam Dale can be contacted via phone (509) 547-8409.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00004156 | Washington |
Profile Details
| NPI number | 1568661924 |
|---|---|
| LBN Legal business name | Good, Adam Dale |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2007 |
| Last updated | Sep 12th, 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 | 1568661924 | NPPES |
| Washington | MEDICAID | 2033553 | |
| Washington | Other | P00425944 | |
| Washington | Other | 0223113 |
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