Jang, Steven Wangsoo
Jang, Steven Wangsoo is an individual health care provider with primary practice located at 17410 Highway 99 Suite 110, Lynnwood WA 98037-3632. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jang, Steven Wangsoo can be contacted via phone (425) 742-3777.Contact Information
Primary practice address
17410 Highway 99 Suite 110
Lynnwood WA 98037-3632
Phone: (425) 742-3777
Fax: (425) 742-8695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00003500 | Washington |
Profile Details
| NPI number | 1669420097 |
|---|---|
| LBN Legal business name | Jang, Steven Wangsoo |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1669420097 | NPPES |
| Washington | MEDICAID | 2032191 | |
| Washington | Other | 100000125710 |
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