Deck, Robert Emmett
Deck, Robert Emmett is an sole proprietor health care provider with primary practice located at 81 Indianwood Rd Suite 1, Lake Orion MI 48362-1595. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Deck, Robert Emmett can be contacted via phone (248) 693-2321.Contact Information
Primary practice address
81 Indianwood Rd Suite 1
Lake Orion MI 48362-1595
Phone: (248) 693-2321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003566 | Michigan |
Profile Details
| NPI number | 1437177342 |
|---|---|
| LBN Legal business name | Deck, Robert Emmett |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Dec 10th, 2009 - about 15 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 | 1437177342 | NPPES |
| Michigan | MEDICAID | 324-0332 |
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