Pawlish, Keith
Pawlish, Keith is an sole proprietor health care provider with primary practice located at 3916 E Franklin Blvd Ste 160B , Gastonia NC 28056-9220. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pawlish, Keith can be contacted via phone (704) 565-0660.Contact Information
Primary practice address
3916 E Franklin Blvd Ste 160B
Gastonia NC 28056-9220
Phone: (704) 565-0660
Fax: (704) 824-2192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2042 | North Carolina |
Profile Details
| NPI number | 1417060070 |
|---|---|
| LBN Legal business name | Pawlish, Keith |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Aug 11th, 2020 - about 5 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 | 1417060070 | NPPES |
| North Carolina | MEDICAID | 5915946 |
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