Carpenter, Brian Robert

Carpenter, Brian Robert is an individual health care provider with primary practice located at 1300 Broadway , Marysville KS 66508-1821. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carpenter, Brian Robert can be contacted via phone (785) 562-5111.

Contact Information

Primary practice address
1300 Broadway Marysville KS 66508-1821
Phone: (785) 562-5111
Fax: (785) 562-1050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1767 Kansas

Profile Details

NPI number 1073703278
LBN Legal business name Carpenter, Brian Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Jun 24th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073703278 NPPES
Kansas Other 651179 BLUE CROSS BLUE SHIELD OF KS
Kansas MEDICAID 200569190A BLUE CROSS BLUE SHIELD OF KS

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