Egan, Kevin H

Egan, Kevin H is an individual health care provider with primary practice located at 2746 Old Us 20 W , Elkhart IN 46514-1364. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Egan, Kevin H can be contacted via phone (574) 293-3545.

Contact Information

Primary practice address
2746 Old Us 20 W Elkhart IN 46514-1364
Phone: (574) 293-3545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002412 Indiana

Profile Details

NPI number 1902837339
LBN Legal business name Egan, Kevin H
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 6th, 2008 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902837339 NPPES
Other P00407202 RAILROAD MEDICARE

Popular Providers