Poggiolo, Carl Vincent

Poggiolo, Carl Vincent is an individual health care provider with primary practice located at 15055 22 Mile Rd Ste 3 , Shelby Township MI 48315-4401. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Poggiolo, Carl Vincent can be contacted via phone (586) 239-0303.

Contact Information

Primary practice address
15055 22 Mile Rd Ste 3 Shelby Township MI 48315-4401
Phone: (586) 239-0303
Fax: (586) 436-3537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901004394 Michigan

Profile Details

NPI number 1316059538
LBN Legal business name Poggiolo, Carl Vincent
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Mar 11th, 2017 - about 7 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 1316059538 NPPES
Michigan MEDICAID 5189515
Michigan MEDICAID 5819551

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