Kerry, Nicholas G
Kerry, Nicholas G is an individual health care provider with primary practice located at 35 San Anselmo Ave , San Anselmo CA 94960-2842. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kerry, Nicholas G can be contacted via phone (415) 457-2020.Contact Information
Primary practice address
35 San Anselmo Ave
San Anselmo CA 94960-2842
Phone: (415) 457-2020
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 5414 | California |
Profile Details
NPI number | 1609903590 |
---|---|
LBN Legal business name | Kerry, Nicholas G |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2007 |
Last updated | Jan 5th, 2009 - 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 | 1609903590 | NPPES |
California | MEDICAID | 1609903590 |
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