Havranek, Gary J.
Havranek, Gary J. is an sole proprietor health care provider with primary practice located at 1315 6Th Ave , Beaver Falls PA 15010-4213. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Havranek, Gary J. can be contacted via phone (724) 843-1870.Contact Information
Primary practice address
1315 6Th Ave
Beaver Falls PA 15010-4213
Phone: (724) 843-1870
Fax: (724) 843-7275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000663 | Pennsylvania |
Profile Details
| NPI number | 1922097153 |
|---|---|
| LBN Legal business name | Havranek, Gary J. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Nov 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922097153 | NPPES |
| Pennsylvania | MEDICAID | 0009693170001 | |
| Pennsylvania | Other | 410001500 |
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