Kirste, Ian Thorsten

Kirste, Ian Thorsten is an individual health care provider with primary practice located at 121 S Main Ave , Aztec NM 87410-2120. He recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Kirste, Ian Thorsten can be contacted via phone (505) 333-7278.

Contact Information

Primary practice address
121 S Main Ave Aztec NM 87410-2120
Fax: (505) 395-9287
Website:

Profile Details

NPI number 1770546657
LBN Legal business name Kirste, Ian Thorsten
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 17th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770546657 NPPES
New Mexico MEDICAID 23623331

Popular Providers