Kyle, David Ala

Kyle, David Ala is an individual health care provider with primary practice located at 1055 W Baraga Ave , Marquette MI 49855-4068. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Kyle, David Ala can be contacted via phone (906) 228-8808.

Contact Information

Primary practice address
1055 W Baraga Ave Marquette MI 49855-4068
Fax: (906) 228-9022
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 4901003683 Michigan
Eye and Vision Services Providers / Pediatrics 152WP0200X 4901003683 Michigan
Eye and Vision Services Providers / Sports Vision 152WS0006X 4901003683 Michigan
Eye and Vision Services Providers / Optometrist 152W00000X 4901003683 Michigan

Profile Details

NPI number 1720137284
LBN Legal business name Kyle, David Ala
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Feb 6th, 2023 - about last year

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 1720137284 NPPES
Michigan Other 95OE265210 BLUECROSSBLUESHIELD
Michigan MEDICAID 94-3319568 BLUECROSSBLUESHIELD
Michigan Other 383326048 BLUECROSSBLUESHIELD
Michigan Other MO34439 BLUECROSSBLUESHIELD

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