Ethier, Kenneth A
Ethier, Kenneth A is an sole proprietor health care provider with primary practice located at 1525 10Th Ave S , Great Falls MT 59405-2608. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ethier, Kenneth A can be contacted via phone (406) 791-5139.Contact Information
Primary practice address
1525 10Th Ave S
Great Falls MT 59405-2608
Phone: (406) 791-5139
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 751 | Montana |
Profile Details
NPI number | 1114061256 |
---|---|
LBN Legal business name | Ethier, Kenneth A |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 19th, 2007 |
Last updated | Nov 5th, 2018 - about 6 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 | 1114061256 | NPPES |
Idaho | MEDICAID | 807265600 |
Popular Providers
-
Christman, Phillip
523 9Th St S , Great Falls MT 59405 -
Hager, Donald Michael
509 2Nd Ave N , Great Falls MT 59401-2521 -
Turk, Anthony Charles
1012 1St Ave North , Great Falls MT 59404 -
Reeves, John E
1211 5Th St S , Great Falls MT 59405-4304 -
Roth, Carl J
2800 11Th Ave S Ste 14 , Great Falls MT 59405-5263 -
Sherer, Robert J
3226 10Th Ave S , Great Falls MT 59405-3449 -
Meguire, Gerald Earl
523 9Th St S , Great Falls MT 59405 -
Newkirk, Robert M.
523 9Th St S , Great Falls MT 59405-2113