Teigen, Gene O

Teigen, Gene O is an sole proprietor health care provider with primary practice located at 9671 N Nevada St Suite 210, Spokane WA 99218-1146. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Teigen, Gene O can be contacted via phone (509) 468-2020.

Contact Information

Primary practice address
9671 N Nevada St Suite 210 Spokane WA 99218-1146
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00001023 Washington

Profile Details

NPI number 1376514976
LBN Legal business name Teigen, Gene O
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2006
Last updated Aug 17th, 2010 - about 14 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 1376514976 NPPES
Washington MEDICAID 2004398

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