Muckley, Elizabeth
Muckley, Elizabeth is an individual health care provider with primary practice located at 2013 State Route 59 , Kent OH 44240-4113. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Muckley, Elizabeth can be contacted via phone (330) 678-0201.Contact Information
Primary practice address
2013 State Route 59
Kent OH 44240-4113
Phone: (330) 678-0201
Fax: (330) 678-4272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4833 | Ohio |
Profile Details
| NPI number | 1568462174 |
|---|---|
| LBN Legal business name | Muckley, Elizabeth |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Dec 31st, 2013 - about 11 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 | 1568462174 | NPPES |
| Ohio | MEDICAID | 0713339 | |
| Ohio | Other | 0942140001 | |
| Ohio | MEDICAID | 2053950 |
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