Els, Dennis J
Els, Dennis J is an sole proprietor health care provider with primary practice located at 3454 Broadway St , Mount Vernon IL 62864-2277. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Els, Dennis J can be contacted via phone (618) 242-1090.Contact Information
Primary practice address
3454 Broadway St
Mount Vernon IL 62864-2277
Phone: (618) 242-1090
Fax: (618) 242-1090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0046007091 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02348 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1619035 | Wisconsin |
Profile Details
| NPI number | 1275507725 |
|---|---|
| LBN Legal business name | Els, Dennis J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jun 9th, 2008 - about 17 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 | 1275507725 | NPPES |
| Illinois | MEDICAID | 04600791 |
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