Kwon, Marielle
Kwon, Marielle is an individual health care provider with primary practice located at 13414 E Sprague Ave , Spokane Valley WA 99216-0848. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kwon, Marielle can be contacted via phone (509) 924-2015.Contact Information
Primary practice address
13414 E Sprague Ave
Spokane Valley WA 99216-0848
Phone: (509) 924-2015
Fax: (509) 921-9373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3208 | Washington |
Profile Details
| NPI number | 1417996976 |
|---|---|
| LBN Legal business name | Kwon, Marielle |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1417996976 | NPPES |
| Washington | MEDICAID | 2005056 |
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