Dziak, David Kenneth

Dziak, David Kenneth is an individual health care provider with primary practice located at 560 W Mitchell St Suite 204, Petoskey MI 49770-2275. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Dziak, David Kenneth can be contacted via phone (231) 487-0171.

Contact Information

Primary practice address
560 W Mitchell St Suite 204 Petoskey MI 49770-2275
Phone: (231) 487-0171
Fax: (231) 487-0690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1417183591
LBN Legal business name Dziak, David Kenneth
Credentials ABOC/NCLEC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2009
Last updated Jun 3rd, 2009 - about 16 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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