Jepson, Kimberly S
Jepson, Kimberly S is an sole proprietor health care provider with primary practice located at 4421 Main Ave , Ashtabula OH 44004-6922. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Jepson, Kimberly S can be contacted via phone (440) 998-4720.Contact Information
Primary practice address
4421 Main Ave
Ashtabula OH 44004-6922
Phone: (440) 998-4720
Fax: (440) 998-4720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 4919-S | Ohio |
Profile Details
| NPI number | 1821057167 |
|---|---|
| LBN Legal business name | Jepson, Kimberly S |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Dec 11th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821057167 | NPPES |
| Ohio | MEDICAID | 2579286 |
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