Lebow, Kenneth A
Lebow, Kenneth A is an sole proprietor health care provider with primary practice located at 345 Edwin Dr , Virginia Beach VA 23462-4522. 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. Lebow, Kenneth A can be contacted via phone (757) 497-5555.Contact Information
Primary practice address
345 Edwin Dr
Virginia Beach VA 23462-4522
Phone: (757) 497-5555
Fax: (757) 499-2636
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 0618001847 | Virginia |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 0618000344 | Virginia |
Profile Details
NPI number | 1902892599 |
---|---|
LBN Legal business name | Lebow, Kenneth A |
Credentials | O.D., F.A.A.O. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 20th, 2005 |
Last updated | Sep 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902892599 | NPPES |
Virginia | Other | 006473 | BLUE CROSS BLUE SHIELD |
Virginia | Other | VA0000456 | BLUE CROSS BLUE SHIELD |
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