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
Phone: (701) 258-6100
Fax: (701) 258-9882
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245223999 | NPPES |
North Dakota | MEDICAID | 60138 |
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