Weaver-Farnam, Jennifer
Weaver-Farnam, Jennifer is an sole proprietor health care provider with primary practice located at 401 Sw 153Rd St Suite A, Burien WA 98166-2247. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Weaver-Farnam, Jennifer can be contacted via phone (206) 244-1780.Contact Information
Primary practice address
401 Sw 153Rd St Suite A
Burien WA 98166-2247
Phone: (206) 244-1780
Fax: (206) 433-4060
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1753 TX | Washington |
Profile Details
NPI number | 1508961251 |
---|---|
LBN Legal business name | Weaver-Farnam, Jennifer |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 14th, 2006 |
Last updated | Aug 27th, 2012 - about 13 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 | 1508961251 | NPPES |
Washington | MEDICAID | 2023422 |
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