Lampe, Mary Kirsch

Lampe, Mary Kirsch is an individual health care provider with primary practice located at 823 9Th St , Highland IL 62249-1521. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lampe, Mary Kirsch can be contacted via phone (618) 654-9848.

Contact Information

Primary practice address
823 9Th St Highland IL 62249-1521
Fax: (618) 654-5200
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046008547 Illinois

Profile Details

NPI number 1942205711
LBN Legal business name Lampe, Mary Kirsch
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jan 30th, 2014 - about 10 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 1942205711 NPPES
Illinois MEDICAID 046008547 1

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