Christopher, Kenneth Earl

Christopher, Kenneth Earl is an sole proprietor health care provider with primary practice located at 28081 Bradley Rd , Sun City CA 92586-2207. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Christopher, Kenneth Earl can be contacted via phone (951) 672-2010.

Contact Information

Primary practice address
28081 Bradley Rd Sun City CA 92586-2207
Fax: (951) 679-4050
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9224T California

Profile Details

NPI number 1942243514
LBN Legal business name Christopher, Kenneth Earl
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Mar 27th, 2012 - about 12 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 1942243514 NPPES
California Other 0948077 CIGNA
California Other 30448 CIGNA
California MEDICAID SD0092240 CIGNA
California Other 5640 CIGNA
California Other 03219 CIGNA
California Other 902168 CIGNA
California Other 113829 CIGNA
California Other 263376 CIGNA
California Other 2884 CIGNA
California Other 50541 CIGNA
California Other 5660130 CIGNA
California Other 64408 CIGNA
California Other 6447 CIGNA
California Other 050504 CIGNA

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