Hedahl, Ray George
Hedahl, Ray George is an individual health care provider with primary practice located at 19220 8Th Ave Ne Ste A , Poulsbo WA 98370-8773. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hedahl, Ray George can be contacted via phone (360) 779-2336.Contact Information
Primary practice address
19220 8Th Ave Ne Ste A
Poulsbo WA 98370-8773
Phone: (360) 779-2336
Fax: (360) 779-7628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00001086 | Washington |
Profile Details
| NPI number | 1053420851 |
|---|---|
| LBN Legal business name | Hedahl, Ray George |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jun 11th, 2021 - about 3 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 | 1053420851 | NPPES |
| Washington | MEDICAID | 2030054 | |
| Washington | Other | HE0975 | |
| Washington | Other | 23835 | |
| Washington | Other | 91155102306 |
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