Hittenmiller, Michael Joseph

Hittenmiller, Michael Joseph is an individual health care provider with primary practice located at 777 Tanglefoot Ln , Bettendorf IA 52722-1650. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hittenmiller, Michael Joseph can be contacted via phone (563) 323-2020.

Contact Information

Primary practice address
777 Tanglefoot Ln Bettendorf IA 52722-1650
Phone: (563) 323-2020
Fax: (563) 328-5694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 01711 Iowa

Profile Details

NPI number 1124004171
LBN Legal business name Hittenmiller, Michael Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jun 28th, 2012 - about 12 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 1124004171 NPPES
Iowa Other 0740183 IA GROUP MEDICAID
Iowa MEDICAID 0028225 IA GROUP MEDICAID

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