Kappel, Garry Dwayne
Kappel, Garry Dwayne is an sole proprietor health care provider with primary practice located at 628 N 1St St Ste C, Lakeview OR 97630-1506. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is his primary health care specialty. Kappel, Garry Dwayne can be contacted via phone (541) 947-3357.Contact Information
Primary practice address
628 N 1St St Ste C
Lakeview OR 97630-1506
Phone: (541) 947-3357
Fax: (541) 947-3368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | 79-807 | Oregon |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 961AT | Oregon |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 961 AT | Oregon |
Profile Details
| NPI number | 1831193432 |
|---|---|
| LBN Legal business name | Kappel, Garry Dwayne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Aug 1st, 2011 - about 13 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 | 1831193432 | NPPES |
| Oregon | MEDICAID | 109637 |
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