Kresovsky, Seth P
Kresovsky, Seth P is an individual health care provider with primary practice located at 1345 Unity Pl Suite 245, Lafayette IN 47905-5770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kresovsky, Seth P can be contacted via phone (765) 446-5130.Contact Information
Primary practice address
1345 Unity Pl Suite 245
Lafayette IN 47905-5770
Phone: (765) 446-5130
Fax: (765) 446-5131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01064881A | Indiana |
Profile Details
| NPI number | 1780856716 |
|---|---|
| LBN Legal business name | Kresovsky, Seth P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2008 |
| Last updated | Jun 15th, 2020 - about 5 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 | 1780856716 | NPPES |
| Indiana | Other | 000000586923 | ANTHEM |
| Indiana | MEDICAID | 200917460 | ANTHEM |
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