Boots, Calvin
Boots, Calvin is an individual health care provider with primary practice located at 2746 Old Us 20 W , Elkhart IN 46514-1364. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Boots, Calvin can be contacted via phone (574) 293-3545.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18004190A | Indiana |
Profile Details
| NPI number | 1619525458 |
|---|---|
| LBN Legal business name | Boots, Calvin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2019 |
| Last updated | Aug 26th, 2019 - about 5 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 | 1619525458 | NPPES |
| Indiana | Other | 18004190A | INDIANA OPTOMETRY LICENSE NUMBER |
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