Ergle, Chevron L.
Ergle, Chevron L. is an individual health care provider with primary practice located at 521 Marshall Rd , Jacksonville AR 72076-3749. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ergle, Chevron L. can be contacted via phone (501) 985-0616.Contact Information
Primary practice address
521 Marshall Rd
Jacksonville AR 72076-3749
Phone: (501) 985-0616
Fax: (501) 985-0715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2548 | Arkansas |
Profile Details
| NPI number | 1891760773 |
|---|---|
| LBN Legal business name | Ergle, Chevron L. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jun 7th, 2012 - about 12 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 | 1891760773 | NPPES |
| Arkansas | MEDICAID | 154879722 |
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