Mariam, Kidisti Ghebre
Mariam, Kidisti Ghebre is an individual health care provider with primary practice located at 2201 Verne Roberts Cir , Antioch CA 94509-7911. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mariam, Kidisti Ghebre can be contacted via phone (925) 757-1183.Contact Information
Primary practice address
2201 Verne Roberts Cir
Antioch CA 94509-7911
Phone: (925) 757-1183
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11703T | California |
Profile Details
| NPI number | 1477508331 |
|---|---|
| LBN Legal business name | Mariam, Kidisti Ghebre |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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