Rae, Steven T
Rae, Steven T is an sole proprietor health care provider with primary practice located at 105 Sawgrass Pt , Harrison AR 72601-3072. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rae, Steven T can be contacted via phone (870) 741-1910.Contact Information
Primary practice address
105 Sawgrass Pt
Harrison AR 72601-3072
Phone: (870) 741-1910
Fax: (870) 741-6331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | AR2441 | Arkansas |
Profile Details
| NPI number | 1770586521 |
|---|---|
| LBN Legal business name | Rae, Steven T |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Aug 20th, 2021 - about 3 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 | 1770586521 | NPPES |
| Arkansas | MEDICAID | 128334722 |
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