Picken, Jace Hunter
Picken, Jace Hunter is an sole proprietor health care provider with primary practice located at 315 11 St. N., Ste A Prairie Vision Center, Wahpeton ND 58075-4101. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Picken, Jace Hunter can be contacted via phone (701) 642-4090.Contact Information
Primary practice address
315 11 St. N., Ste A Prairie Vision Center
Wahpeton ND 58075-4101
Phone: (701) 642-4090
Fax: (701) 642-9424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 694 | North Dakota |
Profile Details
| NPI number | 1194755249 |
|---|---|
| LBN Legal business name | Picken, Jace Hunter |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jan 9th, 2015 - about 11 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 | 1194755249 | NPPES |
| North Dakota | MEDICAID | 60704 |
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