Chismire, Kevin J

Chismire, Kevin J is an individual health care provider with primary practice located at 1800 E. Pavilion Place Suite B, Montrose CO 81401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Chismire, Kevin J can be contacted via phone (970) 249-1210.

Contact Information

Primary practice address
1800 E. Pavilion Place Suite B Montrose CO 81401
Phone: (970) 249-1210
Fax: (970) 249-3057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 27759 Colorado

Profile Details

NPI number 1184776114
LBN Legal business name Chismire, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Oct 30th, 2007 - about 17 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 1184776114 NPPES
Colorado MEDICAID 54774845
Colorado Other P00094915
Colorado Other 667552
Colorado Other 840851676006

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