Dittlinger, Kevin Jacob
Dittlinger, Kevin Jacob is an individual health care provider with primary practice located at 7840 Natural Bridge Blvd Patient Care Center, Saint Louis MO 63121. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Dittlinger, Kevin Jacob can be contacted via phone (314) 516-5131.Contact Information
Primary practice address
7840 Natural Bridge Blvd Patient Care Center
Saint Louis MO 63121
Phone: (314) 516-5131
Fax: (314) 516-5507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2018021087 | Missouri |
Eye and Vision Services Providers / Optometrist | 152W00000X | 2018021087 | Missouri |
Profile Details
NPI number | 1114411451 |
---|---|
LBN Legal business name | Dittlinger, Kevin Jacob |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 20th, 2018 |
Last updated | Feb 27th, 2019 - about 6 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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