Mar, Douglas H

Mar, Douglas H is an individual health care provider with primary practice located at 13014 120Th Ave Ne , Kirkland WA 98034-3015. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mar, Douglas H can be contacted via phone (425) 821-8004.

Contact Information

Primary practice address
13014 120Th Ave Ne Kirkland WA 98034-3015
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00001558 Washington

Profile Details

NPI number 1689712929
LBN Legal business name Mar, Douglas H
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jun 17th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689712929 NPPES
Washington Other US0861769 AETNA SPECIALIST PIN
Washington MEDICAID 2101103 AETNA SPECIALIST PIN
Washington Other MA8570 AETNA SPECIALIST PIN
Washington Other 0039597 AETNA SPECIALIST PIN

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