Firth, Winona J.
Firth, Winona J. is an sole proprietor health care provider with primary practice located at 840 A St , Springfield OR 97477-4710. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Firth, Winona J. can be contacted via phone (541) 746-8401.Contact Information
Primary practice address
840 A St
Springfield OR 97477-4710
Phone: (541) 746-8401
Fax: (541) 746-8402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2194ATI | Oregon |
Profile Details
| NPI number | 1295738318 |
|---|---|
| LBN Legal business name | Firth, Winona J. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Oct 29th, 2007 - about 19 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 | 1295738318 | NPPES |
| Oregon | MEDICAID | 020839 | |
| Oregon | Other | 011342000 | |
| Oregon | Other | 02805-01 | |
| Oregon | Other | 800678 |
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