Billings, Michael
Billings, Michael is an individual health care provider with primary practice located at 2511 N Westwood Blvd , Poplar Bluff MO 63901-2338. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Billings, Michael can be contacted via phone (573) 686-5866.Contact Information
Primary practice address
2511 N Westwood Blvd
Poplar Bluff MO 63901-2338
Phone: (573) 686-5866
Fax: (573) 686-0425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02731 | Missouri |
Profile Details
| NPI number | 1164419354 |
|---|---|
| LBN Legal business name | Billings, Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Oct 1st, 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 | 1164419354 | NPPES |
| Missouri | MEDICAID | 33792830 | |
| Missouri | Other | IL2731 | |
| Missouri | Other | 0814870017 | |
| Missouri | Other | 081066 | |
| Missouri | Other | 0814870013 | |
| Missouri | Other | 147084 | |
| Missouri | Other | 410049553, CI6574 |
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