Sullivan, James Chester

Sullivan, James Chester is an individual health care provider with primary practice located at 1906 N 20Th Ave , Pasco WA 99301-3393. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sullivan, James Chester can be contacted via phone (509) 547-8409.

Contact Information

Primary practice address
1906 N 20Th Ave Pasco WA 99301-3393
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00004061 Washington

Profile Details

NPI number 1992802656
LBN Legal business name Sullivan, James Chester
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Dec 14th, 2009 - about 15 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 1992802656 NPPES
Washington Other P00425941 RAILROAD MEDICARE
Washington MEDICAID 2033561 RAILROAD MEDICARE
Washington Other 0222797 RAILROAD MEDICARE

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