Schrader, James Dale
Schrader, James Dale is an individual health care provider with primary practice located at 3700 Colby Ave , Everett WA 98201-4911. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Schrader, James Dale can be contacted via phone (425) 252-3937.Contact Information
Primary practice address
3700 Colby Ave
Everett WA 98201-4911
Phone: (425) 252-3937
Fax: (425) 259-3895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3029TX | Washington |
Profile Details
| NPI number | 1790767341 |
|---|---|
| LBN Legal business name | Schrader, James Dale |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Jul 8th, 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 | 1790767341 | NPPES |
| Washington | MEDICAID | 2208916 |
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