Iversen, Denise Marie
Iversen, Denise Marie is an individual health care provider with primary practice located at 10990 Harbor Hill Dr Nw , Gig Harbor WA 98332-8945. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Iversen, Denise Marie can be contacted via phone (253) 853-8613.Contact Information
Primary practice address
10990 Harbor Hill Dr Nw
Gig Harbor WA 98332-8945
Phone: (253) 853-8613
Fax: (253) 853-8614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD3967 | Washington |
Profile Details
| NPI number | 1346241544 |
|---|---|
| LBN Legal business name | Iversen, Denise Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | May 21st, 2013 - 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 | 1346241544 | NPPES |
| Washington | Other | G8871458 | MEDICARE WA |
| Washington | MEDICAID | 2033769 | MEDICARE WA |
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