Mccarrell, Jesse Quinton
Mccarrell, Jesse Quinton is an individual health care provider with primary practice located at 820 N Chelan Ave , Wenatchee WA 98801-2028. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mccarrell, Jesse Quinton can be contacted via phone (509) 663-8711.Contact Information
Primary practice address
820 N Chelan Ave
Wenatchee WA 98801-2028
Phone: (509) 663-8711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD60294007 | Washington |
Profile Details
| NPI number | 1295060374 |
|---|---|
| LBN Legal business name | Mccarrell, Jesse Quinton |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2009 |
| Last updated | Aug 7th, 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 | 1295060374 | NPPES |
| Washington | Other | 0306258 | L&I |
| Washington | MEDICAID | 1295060374 | L&I |
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