Kalil, Chad David

Kalil, Chad David is an individual health care provider with primary practice located at 3777 Coon Rapids Boulevard Suite 100, Coon Rapids MN 55433. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kalil, Chad David can be contacted via phone (763) 421-7420.

Contact Information

Primary practice address
3777 Coon Rapids Boulevard Suite 100 Coon Rapids MN 55433
Phone: (763) 421-7420
Fax: (763) 421-0730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 614 South Dakota
Eye and Vision Services Providers / Optometrist 152W00000X 3265 Minnesota

Profile Details

NPI number 1588790729
LBN Legal business name Kalil, Chad David
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2007
Last updated Jul 30th, 2013 - about 11 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 1588790729 NPPES
South Dakota MEDICAID 9203470

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