Sipe, Stephanie R
Sipe, Stephanie R is an sole proprietor health care provider with primary practice located at 4503 Ocean Beach Hwy Ste 103 , Longview WA 98632-5055. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sipe, Stephanie R can be contacted via phone (360) 636-6111.Contact Information
Primary practice address
4503 Ocean Beach Hwy Ste 103
Longview WA 98632-5055
Phone: (360) 636-6111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00004012 | Washington |
Profile Details
| NPI number | 1740225077 |
|---|---|
| LBN Legal business name | Sipe, Stephanie R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740225077 | NPPES |
| Washington | MEDICAID | 2031748 | |
| Washington | Other | WA1073SI |
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