Egan, Kaila Cynthia

Egan, Kaila Cynthia is an sole proprietor health care provider with primary practice located at 918 Decathlon Dr , Waterloo IA 50701-3441. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Egan, Kaila Cynthia can be contacted via phone (319) 236-2020.

Contact Information

Primary practice address
918 Decathlon Dr Waterloo IA 50701-3441
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002596 Iowa

Profile Details

NPI number 1851739213
LBN Legal business name Egan, Kaila Cynthia
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2013
Last updated Nov 18th, 2013 - about 11 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 1851739213 NPPES
Iowa MEDICAID IB2898001

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