Phan, Jaclyn T

Phan, Jaclyn T is an sole proprietor health care provider with primary practice located at 1912 201St Pl Se Suite 204, Bothell WA 98012-8570. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Phan, Jaclyn T can be contacted via phone (425) 485-6812.

Contact Information

Primary practice address
1912 201St Pl Se Suite 204 Bothell WA 98012-8570
Phone: (425) 485-6812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 3357 Washington

Profile Details

NPI number 1114078235
LBN Legal business name Phan, Jaclyn T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Nov 23rd, 2007 - 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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