Gasiorowski, Kevin Michael

Gasiorowski, Kevin Michael is an individual health care provider with primary practice located at 39 Green St , Newburyport MA 01950-2652. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gasiorowski, Kevin Michael can be contacted via phone (978) 465-8761.

Contact Information

Primary practice address
39 Green St Newburyport MA 01950-2652
Phone: (978) 465-8761
Fax: (978) 465-6228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3623 Massachusetts

Profile Details

NPI number 1265411219
LBN Legal business name Gasiorowski, Kevin Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265411219 NPPES
Massachusetts MEDICAID 0391727
Massachusetts Other W22037

Popular Providers