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
Phone: (636) 282-4982
Fax: (636) 296-3376
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306842398 | NPPES |
Missouri | MEDICAID | 314739830 | |
Missouri | Other | 410046214 |
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