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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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