Kamen, Roger Dean

Kamen, Roger Dean is an individual health care provider with primary practice located at 1310 Cramer Circle Pennock 506, Big Rapids MI 49307-2738. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kamen, Roger Dean can be contacted via phone (231) 591-2222.

Contact Information

Primary practice address
1310 Cramer Circle Pennock 506 Big Rapids MI 49307-2738
Phone: (231) 591-2222
Fax: (231) 591-3991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003601 Michigan

Profile Details

NPI number 1063421006
LBN Legal business name Kamen, Roger Dean
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1063421006 NPPES
Michigan MEDICAID 2806099
Michigan Other 0784610001014
Michigan Other RK003601

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