Wardle, Charles A.

Wardle, Charles A. is an individual health care provider with primary practice located at 1426 Commerce Ave , Longview WA 98632-3720. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wardle, Charles A. can be contacted via phone (360) 423-7650.

Contact Information

Primary practice address
1426 Commerce Ave Longview WA 98632-3720
Phone: (360) 423-7650
Fax: (360) 423-2346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 907 Washington
Eye and Vision Services Providers / Optometrist 152W00000X 1115 Oregon

Profile Details

NPI number 1649277245
LBN Legal business name Wardle, Charles A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Aug 6th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649277245 NPPES
Washington MEDICAID 2046902
Washington Other 410004815

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