Kassel, Jerry

Kassel, Jerry is an individual health care provider with primary practice located at 3936 Vogel Rd , Arnold MO 63010-3790. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kassel, Jerry can be contacted via phone (636) 282-4982.

Contact Information

Primary practice address
3936 Vogel Rd Arnold MO 63010-3790
Fax: (636) 296-3376
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T03445 Missouri

Profile Details

NPI number 1306842398
LBN Legal business name Kassel, Jerry
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Nov 18th, 2014 - about 10 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 1306842398 NPPES
Missouri MEDICAID 314739830
Missouri Other 410046214

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