Frost, Renita Charlene
Frost, Renita Charlene is an sole proprietor health care provider with primary practice located at 7840 E St Route Hwy 69 Suite A-5A, Prescott Valley AZ 86314-2274. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Frost, Renita Charlene can be contacted via phone (928) 775-9393.Contact Information
Primary practice address
7840 E St Route Hwy 69 Suite A-5A
Prescott Valley AZ 86314-2274
Phone: (928) 775-9393
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 521 | Arizona |
Profile Details
| NPI number | 1558449983 |
|---|---|
| LBN Legal business name | Frost, Renita Charlene |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Nov 24th, 2020 - about 4 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 | 1558449983 | NPPES |
| Arizona | Other | Z70680 | MEDICARE PTAN |
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