Vesselle, Loren J
Vesselle, Loren J is an individual health care provider with primary practice located at 13014 120Th Ave Ne , Kirkland WA 98034-3015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Vesselle, Loren J can be contacted via phone (425) 821-8004.Contact Information
Primary practice address
13014 120Th Ave Ne
Kirkland WA 98034-3015
Phone: (425) 821-8004
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD00034975 | Washington |
Profile Details
| NPI number | 1548319791 |
|---|---|
| LBN Legal business name | Vesselle, Loren J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 26th, 2010 - about 16 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 | 1548319791 | NPPES |
| Washington | Other | VE4510 | BLUE SHIELD # |
| Washington | Other | US0864190 | BLUE SHIELD # |
| Washington | Other | 0039593 | BLUE SHIELD # |
| Washington | MEDICAID | 8209975 | BLUE SHIELD # |
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