Burge, Emerson Lynn
Burge, Emerson Lynn is an sole proprietor health care provider with primary practice located at 390 E Whidbey Ave , Oak Harbor WA 98277-2573. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burge, Emerson Lynn can be contacted via phone (360) 675-2295.Contact Information
Primary practice address
390 E Whidbey Ave
Oak Harbor WA 98277-2573
Phone: (360) 675-2295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TX 1120 | Washington |
Profile Details
| NPI number | 1699807784 |
|---|---|
| LBN Legal business name | Burge, Emerson Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jun 30th, 2009 - 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 | 1699807784 | NPPES |
| Washington | Other | BURGG 23760 | SKAGIT COUNTY MEDICAL BUR |
| Washington | Other | 061044001 | SKAGIT COUNTY MEDICAL BUR |
| Washington | MEDICAID | 2012102 | SKAGIT COUNTY MEDICAL BUR |
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