Depugh, David L
Depugh, David L is an sole proprietor health care provider with primary practice located at 4010 Rhodes Ave , New Boston OH 45662-5557. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Depugh, David L can be contacted via phone (740) 456-4143.Contact Information
Primary practice address
4010 Rhodes Ave
New Boston OH 45662-5557
Phone: (740) 456-4143
Fax: (740) 456-6070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3664T908 | Ohio |
Profile Details
| NPI number | 1801947395 |
|---|---|
| LBN Legal business name | Depugh, David L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2007 |
| Last updated | Oct 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801947395 | NPPES |
| Ohio | MEDICAID | 0795028 |
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