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
Fax: (206) 433-4060
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508961251 NPPES
Washington MEDICAID 2023422

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