Stoddard, John C

Stoddard, John C is an individual health care provider with primary practice located at 1179 S Market Blvd , Chehalis WA 98532-3427. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Stoddard, John C can be contacted via phone (360) 748-9228.

Contact Information

Primary practice address
1179 S Market Blvd Chehalis WA 98532-3427
Phone: (360) 748-9228
Fax: (360) 748-4617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X OD00001851 Washington
Eye and Vision Services Providers / Optometrist 152W00000X OD00001851 Washington

Profile Details

NPI number 1699874420
LBN Legal business name Stoddard, John C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jan 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699874420 NPPES
Washington Other HE7836 REGENCE CLINIC NUMBER
Washington Other ST3361 REGENCE CLINIC NUMBER
Washington Other 0056033 REGENCE CLINIC NUMBER
Washington Other 0036580 REGENCE CLINIC NUMBER
Washington MEDICAID 2046506 REGENCE CLINIC NUMBER
Washington MEDICAID 2011716 REGENCE CLINIC NUMBER

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