Thompson Young, Diana Kim
Thompson Young, Diana Kim is an individual health care provider with primary practice located at 128 E Washington , Sequim WA 98382. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Thompson Young, Diana Kim can be contacted via phone (360) 683-3389.Contact Information
Primary practice address
128 E Washington
Sequim WA 98382
Phone: (360) 683-3389
Fax: (360) 683-7069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00003537 | Washington |
Profile Details
| NPI number | 1114005592 |
|---|---|
| LBN Legal business name | Thompson Young, Diana Kim |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1114005592 | NPPES |
| Washington | Other | 133203 | LABOR & INDUSTRIES |
| Washington | MEDICAID | 2023174 | LABOR & INDUSTRIES |
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