Gamble, Christopher M

Gamble, Christopher M is an individual health care provider with primary practice located at 1008 N Main St , Bellefontaine OH 43311-2371. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Gamble, Christopher M can be contacted via phone (937) 599-5315.

Contact Information

Primary practice address
1008 N Main St Bellefontaine OH 43311-2371
Fax: (937) 599-1185
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 4696 Ohio

Profile Details

NPI number 1356412886
LBN Legal business name Gamble, Christopher M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Sep 13th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356412886 NPPES
Ohio Other C9354411 MEDICARE PTAN
Ohio MEDICAID 300285181027 MEDICARE PTAN
Ohio MEDICAID 0215387 MEDICARE PTAN

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