Kantor, Dennis Reid
Kantor, Dennis Reid is an sole proprietor health care provider with primary practice located at 820 E Main St Suite A, Medford OR 97504-7121. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kantor, Dennis Reid can be contacted via phone (541) 772-5504.Contact Information
Primary practice address
820 E Main St Suite A
Medford OR 97504-7121
Phone: (541) 772-5504
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1353AT | Oregon |
Profile Details
| NPI number | 1316901952 |
|---|---|
| LBN Legal business name | Kantor, Dennis Reid |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2006 |
| Last updated | May 13th, 2010 - about 15 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 | 1316901952 | NPPES |
| Oregon | MEDICAID | 154864 |
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