Swiecicki, Mira B

Swiecicki, Mira B is an sole proprietor health care provider with primary practice located at 201 S 19Th St , Lynden WA 98264-1725. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Swiecicki, Mira B can be contacted via phone (360) 354-2222.

Contact Information

Primary practice address
201 S 19Th St Lynden WA 98264-1725
Phone: (360) 354-2222
Fax: (360) 354-0737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3271TX Washington

Profile Details

NPI number 1689639023
LBN Legal business name Swiecicki, Mira B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Jan 9th, 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 1689639023 NPPES
Washington Other 6524SW REGENCE BLUE SHIELD
Washington Other 0108450 REGENCE BLUE SHIELD
Washington Other P00190648 REGENCE BLUE SHIELD
Washington MEDICAID 2019891 REGENCE BLUE SHIELD
Washington Other G8851040 REGENCE BLUE SHIELD

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