Boboth, Cole
Boboth, Cole is an individual health care provider with primary practice located at 403 N Euclid St , Grandview WA 98930-9407. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Boboth, Cole can be contacted via phone (509) 882-2650.Contact Information
Primary practice address
403 N Euclid St
Grandview WA 98930-9407
Phone: (509) 882-2650
Fax: (509) 882-4225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD60469574 | Washington |
Profile Details
| NPI number | 1598040644 |
|---|---|
| LBN Legal business name | Boboth, Cole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2011 |
| Last updated | Sep 10th, 2014 - about 12 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 | 1598040644 | NPPES |
| Washington | Other | 91-1936651 | VISION SERVICE PLAN |
| Washington | MEDICAID | 2021554 | VISION SERVICE PLAN |
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