Bacak, Alice Marie
Bacak, Alice Marie is an individual health care provider with primary practice located at 1088 S Bailey Ave Suite B, South Haven MI 49090-9728. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bacak, Alice Marie can be contacted via phone (269) 637-1442.Contact Information
Primary practice address
1088 S Bailey Ave Suite B
South Haven MI 49090-9728
Phone: (269) 637-1442
Fax: (269) 637-3801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003231 | Michigan |
Profile Details
| NPI number | 1669470159 |
|---|---|
| LBN Legal business name | Bacak, Alice Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Mar 12th, 2008 - 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 | 1669470159 | NPPES |
| Michigan | MEDICAID | 1994216 |
Popular Providers
-
Ruscett, Ronda Victoria
17088 Robbins Rd , Grand Haven MI 49417 -
Keplinger, Brian Leigh
15 Grandview Dr Ste D, Frankfort KY 40601-3235 -
Bifano, Rhonda Marie
317 N Lafayette St , South Lyon MI 48178-2034 -
Mannik, John A
1088 S Bailey Ave Suite B, South Haven MI 49090-9728 -
Draeger, Terrance L.
4 Washington Ave , Grand Haven MI 49417-1353 -
Roth, Reed T
28370 Kensington Ln Suite A, Perrysburg OH 43551-4163 -
Vandeweghe, Christine I
1125 S Beacon , Grand Haven MI 49417-2651 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415