Van Woerkom, Craig Arthur
Van Woerkom, Craig Arthur is an sole proprietor health care provider with primary practice located at 960 E Green St Suite 1000, Pasadena CA 91106-2401. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Van Woerkom, Craig Arthur can be contacted via phone (626) 793-1483.Contact Information
Primary practice address
960 E Green St Suite 1000
Pasadena CA 91106-2401
Phone: (626) 793-1483
Fax: (626) 793-5449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11769T | California |
Profile Details
| NPI number | 1811965320 |
|---|---|
| LBN Legal business name | Van Woerkom, Craig Arthur |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Nov 6th, 2009 - about 15 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 | 1811965320 | NPPES |
| California | Other | W21396 | MEDICARE PTAN |
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