Vizcarra, Jorge Abel
Vizcarra, Jorge Abel is an sole proprietor health care provider with primary practice located at 12733 Lake City Way Ne Ste 301 , Seattle WA 98125-4490. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Vizcarra, Jorge Abel can be contacted via phone (206) 365-5060.Contact Information
Primary practice address
12733 Lake City Way Ne Ste 301
Seattle WA 98125-4490
Phone: (206) 365-5060
Fax: (206) 417-3047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | DN00000259 | Washington |
Profile Details
| NPI number | 1629446364 |
|---|---|
| LBN Legal business name | Vizcarra, Jorge Abel |
| Credentials | LD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2015 |
| Last updated | Sep 11th, 2015 - about 9 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 | 1629446364 | NPPES |
| Washington | Other | DSHS 5057865 | DSHS PROVIDER |
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