Koerber, Mitchell Lee

Koerber, Mitchell Lee is an individual health care provider with primary practice located at 442 Highland Ave , Williamstown WV 26187-1249. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Koerber, Mitchell Lee can be contacted via phone (304) 375-6468.

Contact Information

Primary practice address
442 Highland Ave Williamstown WV 26187-1249
Phone: (304) 375-6468
Fax: (304) 375-6468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X WV937OD West Virginia

Profile Details

NPI number 1801851316
LBN Legal business name Koerber, Mitchell Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Mar 12th, 2010 - about 14 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 1801851316 NPPES
West Virginia MEDICAID 0149872000

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