Kooistra, Kevin Donald

Kooistra, Kevin Donald is an individual health care provider with primary practice located at 1033 Clifton Ave Suite 107, Clifton NJ 07013-3517. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Kooistra, Kevin Donald can be contacted via phone (973) 471-1225.

Contact Information

Primary practice address
1033 Clifton Ave Suite 107 Clifton NJ 07013-3517
Phone: (973) 471-1225
Fax: (973) 472-4835
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 31TD00190700 New Jersey

Profile Details

NPI number 1326113994
LBN Legal business name Kooistra, Kevin Donald
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Oct 26th, 2011 - about 13 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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