Tosland, Dale L
Tosland, Dale L is an individual health care provider with primary practice located at 1625 Cooper Point Rd Sw , Olympia WA 98502-5735. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tosland, Dale L can be contacted via phone (360) 357-6683.Contact Information
Primary practice address
1625 Cooper Point Rd Sw
Olympia WA 98502-5735
Phone: (360) 357-6683
Fax: (360) 754-0482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1574TX | Washington |
Profile Details
| NPI number | 1285629485 |
|---|---|
| LBN Legal business name | Tosland, Dale L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jun 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285629485 | NPPES |
| Washington | MEDICAID | 2014488 |
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