Nefedov, Paul
Nefedov, Paul is an individual health care provider with primary practice located at 600 Triangle Ctr Ste 400 , Longview WA 98632-4667. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nefedov, Paul can be contacted via phone (360) 423-0220.Contact Information
Primary practice address
600 Triangle Ctr Ste 400
Longview WA 98632-4667
Phone: (360) 423-0220
Fax: (360) 423-0697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 33688 | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD60997195 | Washington |
| Eye and Vision Services Providers / Optometrist | 152W00000X | ATI4325 | Oregon |
Profile Details
| NPI number | 1487017075 |
|---|---|
| LBN Legal business name | Nefedov, Paul |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2016 |
| Last updated | Jun 17th, 2022 - 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.
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