Hoerres, Michael Gerald

Hoerres, Michael Gerald is an sole proprietor health care provider with primary practice located at 704 Crosstown Ave , Silvis IL 61282-1651. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hoerres, Michael Gerald can be contacted via phone (309) 796-1444.

Contact Information

Primary practice address
704 Crosstown Ave Silvis IL 61282-1651
Fax: (309) 796-1496
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-008302 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 152-01893 Iowa

Profile Details

NPI number 1316932171
LBN Legal business name Hoerres, Michael Gerald
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated Dec 10th, 2009 - about 16 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 1316932171 NPPES
Illinois Other 08132052 BCBS

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