Kilzer, Thomas M

Kilzer, Thomas M is an sole proprietor health care provider with primary practice located at 1929 N Washington St , Bismarck ND 58501-1616. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kilzer, Thomas M can be contacted via phone (701) 258-6100.

Contact Information

Primary practice address
1929 N Washington St Bismarck ND 58501-1616
Fax: (701) 258-9882
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 332 North Dakota

Profile Details

NPI number 1245223999
LBN Legal business name Kilzer, Thomas M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2005
Last updated Nov 15th, 2007 - about 17 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 1245223999 NPPES
North Dakota MEDICAID 60138

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