Quesnell, Douglas Gerald
Quesnell, Douglas Gerald is an sole proprietor health care provider with primary practice located at 7405 W Grandridge Blvd , Kennewick WA 99336-6708. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Quesnell, Douglas Gerald can be contacted via phone (509) 736-0710.Contact Information
Primary practice address
7405 W Grandridge Blvd
Kennewick WA 99336-6708
Phone: (509) 736-0710
Fax: (509) 736-0751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1104TX | Washington |
Profile Details
| NPI number | 1336136266 |
|---|---|
| LBN Legal business name | Quesnell, Douglas Gerald |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Oct 1st, 2013 - about 12 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 | 1336136266 | NPPES |
| Washington | Other | 50524 | DAVIS VISION |
| Washington | Other | 15823 | DAVIS VISION |
| Washington | MEDICAID | 2722304 | DAVIS VISION |
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