Wahl, Diana
Wahl, Diana is an individual health care provider with primary practice located at 10202 Ne 185Th St Suite A, Bothell WA 98011-3456. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wahl, Diana can be contacted via phone (425) 486-2121.Contact Information
Primary practice address
10202 Ne 185Th St Suite A
Bothell WA 98011-3456
Phone: (425) 486-2121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | WA1986 | Washington |
Profile Details
| NPI number | 1730148479 |
|---|---|
| LBN Legal business name | Wahl, Diana |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 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 | 1730148479 | NPPES |
| Washington | MEDICAID | 2012839 |
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