Symonds, George B
Symonds, George B is an sole proprietor health care provider with primary practice located at 1122 E Front St , Port Angeles WA 98362-4308. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Symonds, George B can be contacted via phone (360) 457-1161.Contact Information
Primary practice address
1122 E Front St
Port Angeles WA 98362-4308
Phone: (360) 457-1161
Fax: (360) 457-2806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00001757 | Washington |
Profile Details
| NPI number | 1124028782 |
|---|---|
| LBN Legal business name | Symonds, George B |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124028782 | NPPES |
| Washington | MEDICAID | 2006096 | |
| Washington | Other | G000500197 | |
| Washington | Other | 0D00001757 |
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