Kippenbrock, Robert

Kippenbrock, Robert is an individual health care provider with primary practice located at 1200 W Deyoung St , Marion IL 62959-4437. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kippenbrock, Robert can be contacted via phone (618) 993-5686.

Contact Information

Primary practice address
1200 W Deyoung St Marion IL 62959-4437
Phone: (618) 993-5686
Fax: (618) 997-6250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-008481 Illinois

Profile Details

NPI number 1568414811
LBN Legal business name Kippenbrock, Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 3rd, 2012 - about 12 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 1568414811 NPPES
Illinois Other 401129393 MEDICARE RAILROAD
Illinois Other 0814870001 MEDICARE RAILROAD
Illinois Other 0814870021 MEDICARE RAILROAD
Illinois Other 236231 MEDICARE RAILROAD
Illinois Other 0814870007 MEDICARE RAILROAD
Illinois Other IL8481 MEDICARE RAILROAD
Illinois Other 039087 MEDICARE RAILROAD
Illinois Other 0814870008 MEDICARE RAILROAD
Illinois MEDICAID 046008481 MEDICARE RAILROAD
Illinois Other 0814870022 MEDICARE RAILROAD

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