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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811178395 | NPPES |
| California | MEDICAID | 2820714 | |
| California | Other | P00742598 |
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