Britzke, David Roger
Britzke, David Roger is an sole proprietor health care provider with primary practice located at 830 Parkway Ave Ste E , Elkhart IN 46516-9343. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Britzke, David Roger can be contacted via phone (574) 970-7444.Contact Information
Primary practice address
830 Parkway Ave Ste E
Elkhart IN 46516-9343
Phone: (574) 970-7444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003206 | Indiana |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 18003206 | Indiana |
Profile Details
| NPI number | 1164616900 |
|---|---|
| LBN Legal business name | Britzke, David Roger |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2007 |
| Last updated | Aug 17th, 2015 - about 9 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 | 1164616900 | NPPES |
| Indiana | MEDICAID | 200393840A |
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