Smith, Willie Lee

Smith, Willie Lee is an individual health care provider with primary practice located at 1116 Summit Ave , Seattle WA 98101-2831. He recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as his primary health care specialty. Smith, Willie Lee can be contacted via phone (206) 323-0930.

Contact Information

Primary practice address
1116 Summit Ave Seattle WA 98101-2831
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1134641079
LBN Legal business name Smith, Willie Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2017
Last updated Jul 21st, 2022 - about 2 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 1134641079 NPPES
Washington MEDICAID 91-0882971

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