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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609903590 NPPES
California MEDICAID 1609903590

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