Balthaser, Carrie Ann
Balthaser, Carrie Ann is an individual health care provider with primary practice located at 3583 Reserve Commons Dr , Medina OH 44256-8180. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Balthaser, Carrie Ann can be contacted via phone (330) 722-8300.Contact Information
Primary practice address
3583 Reserve Commons Dr
Medina OH 44256-8180
Phone: (330) 722-8300
Fax: (330) 725-0445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5369 | Ohio |
Profile Details
| NPI number | 1568413409 |
|---|---|
| LBN Legal business name | Balthaser, Carrie Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Oct 2nd, 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 | 1568413409 | NPPES |
| Ohio | MEDICAID | 2428895 | |
| Ohio | Other | 000000391036 |
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