Garbig, Douglas John
Garbig, Douglas John is an individual health care provider with primary practice located at 1400 Gloria Terrell Dr Suite H, Wilder KY 41076-9188. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Garbig, Douglas John can be contacted via phone (859) 441-3400.Contact Information
Primary practice address
1400 Gloria Terrell Dr Suite H
Wilder KY 41076-9188
Phone: (859) 441-3400
Fax: (859) 572-4822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1108DT | Kentucky |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1108DT | Kentucky |
Profile Details
| NPI number | 1104883636 |
|---|---|
| LBN Legal business name | Garbig, Douglas John |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Dec 3rd, 2013 - about 11 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 | 1104883636 | NPPES |
| Kentucky | MEDICAID | 77011088 | |
| Kentucky | Other | 000000184811 | |
| Kentucky | Other | 0004395284 | |
| Kentucky | Other | 410042536 |
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