O'Bryan, Dennis

O'Bryan, Dennis is an sole proprietor health care provider with primary practice located at 8422 M 119 , Harbor Springs MI 49740-9595. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. O'Bryan, Dennis can be contacted via phone (231) 348-1255.

Contact Information

Primary practice address
8422 M 119 Harbor Springs MI 49740-9595
Phone: (231) 348-1255
Fax: (231) 348-3898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2558 Michigan

Profile Details

NPI number 1083688162
LBN Legal business name O'Bryan, Dennis
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Apr 6th, 2010 - about 14 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 1083688162 NPPES
Michigan Other 900B46505 BCBS
Michigan MEDICAID 94-5071239 BCBS
Michigan Other DO002558 BCBS

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