Agostinelli, Kimberly A.
Agostinelli, Kimberly A. is an sole proprietor health care provider with primary practice located at 921 Drinker Tpke Ste 15 , Covington Twp PA 18444-7948. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Agostinelli, Kimberly A. can be contacted via phone (570) 842-0331.Contact Information
Primary practice address
921 Drinker Tpke Ste 15
Covington Twp PA 18444-7948
Phone: (570) 842-0331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000799 | Pennsylvania |
Profile Details
| NPI number | 1902835671 |
|---|---|
| LBN Legal business name | Agostinelli, Kimberly A. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Sep 2nd, 2014 - 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 | 1902835671 | NPPES |
| Pennsylvania | Other | 1902835671 | NPI INDIVIDUAL |
| Pennsylvania | Other | 1104834266 | NPI INDIVIDUAL |
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