Lesniak, Jacqueline Ann
Lesniak, Jacqueline Ann is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Highway , Bethel AK 99559-0287. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lesniak, Jacqueline Ann can be contacted via phone (907) 543-6300.Contact Information
Primary practice address
829 Chief Eddie Hoffman Highway
Bethel AK 99559-0287
Phone: (907) 543-6300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 238 | Alaska |
Profile Details
| NPI number | 1376755868 |
|---|---|
| LBN Legal business name | Lesniak, Jacqueline Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Dec 4th, 2012 - about 14 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 | 1376755868 | NPPES |
| Alaska | MEDICAID | OD5829 |
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