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
Fax: (330) 678-4272
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568462174 NPPES
Ohio MEDICAID 0713339
Ohio Other 0942140001
Ohio MEDICAID 2053950

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