Nivala, Lawrence William
Nivala, Lawrence William is an sole proprietor health care provider with primary practice located at 114 E 1St St , Port Angeles WA 98362-2903. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nivala, Lawrence William can be contacted via phone (360) 452-2361.Contact Information
Primary practice address
114 E 1St St
Port Angeles WA 98362-2903
Phone: (360) 452-2361
Fax: (360) 452-2362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD2046 | Washington |
Profile Details
| NPI number | 1235109174 |
|---|---|
| LBN Legal business name | Nivala, Lawrence William |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Feb 19th, 2014 - about 10 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 | 1235109174 | NPPES |
| Washington | MEDICAID | 2025120 |
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