Mummert, Christina Marie
Mummert, Christina Marie is an sole proprietor health care provider with primary practice located at 14413 Illinois Rd Suite C, Fort Wayne IN 46814-9714. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mummert, Christina Marie can be contacted via phone (260) 616-0184.Contact Information
Primary practice address
14413 Illinois Rd Suite C
Fort Wayne IN 46814-9714
Phone: (260) 616-0184
Fax: (855) 271-9517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003334A | Indiana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901004071 | Michigan |
Profile Details
| NPI number | 1821086380 |
|---|---|
| LBN Legal business name | Mummert, Christina Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Dec 16th, 2020 - about 4 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 | 1821086380 | NPPES |
| Indiana | Other | 410029181 | RR MEDICARE |
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