Reidy, John F

Reidy, John F is an sole proprietor health care provider with primary practice located at 5601 E Sprague Ave , Spokane Valley WA 99212-0826. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Reidy, John F can be contacted via phone (509) 842-0001.

Contact Information

Primary practice address
5601 E Sprague Ave Spokane Valley WA 99212-0826
Fax: (509) 842-0013
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1612 Washington

Profile Details

NPI number 1417041070
LBN Legal business name Reidy, John F
Credentials O.D., P.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Apr 18th, 2008 - about 16 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 1417041070 NPPES
Washington Other 8805615 MEDICARE GROUP PIN

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