Mlsna, Ross W
Mlsna, Ross W is an individual health care provider with primary practice located at 120 E Countryside Pkwy , Yorkville IL 60560-1877. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mlsna, Ross W can be contacted via phone (630) 553-6166.Contact Information
Primary practice address
120 E Countryside Pkwy
Yorkville IL 60560-1877
Phone: (630) 553-6166
Fax: (630) 553-6178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046008133 | Illinois |
Profile Details
| NPI number | 1457428542 |
|---|---|
| LBN Legal business name | Mlsna, Ross W |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Nov 5th, 2007 - about 18 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 | 1457428542 | NPPES |
| Illinois | MEDICAID | 046008133 |
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