Ingman, Stephen John

Ingman, Stephen John is an sole proprietor health care provider with primary practice located at 11879 Kemper Rd Ste 6, Auburn CA 95603-9021. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ingman, Stephen John can be contacted via phone (530) 823-5411.

Contact Information

Primary practice address
11879 Kemper Rd Ste 6 Auburn CA 95603-9021
Phone: (530) 823-5411
Fax: (530) 823-5380
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6466T California

Profile Details

NPI number 1811178395
LBN Legal business name Ingman, Stephen John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2007
Last updated Jun 27th, 2012 - about 13 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 1811178395 NPPES
California MEDICAID 2820714
California Other P00742598

Popular Providers