Pebley, Mitchell Eli
Pebley, Mitchell Eli is an individual health care provider with primary practice located at 1438 E Main St #4, Lehi UT 84043-3814. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pebley, Mitchell Eli can be contacted via phone (801) 753-7999.Contact Information
Primary practice address
1438 E Main St #4
Lehi UT 84043-3814
Phone: (801) 753-7999
Fax: (801) 753-7996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7378183-9934 | Utah |
Profile Details
| NPI number | 1710115332 |
|---|---|
| LBN Legal business name | Pebley, Mitchell Eli |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2009 |
| Last updated | May 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710115332 | NPPES |
| Utah | MEDICAID | 1023242435 |
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