Riles, Holbrook
Riles, Holbrook is an individual health care provider with primary practice located at 2485 Possum Run Rd , Mansfield OH 44903-9447. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Riles, Holbrook can be contacted via phone (419) 756-7295.Contact Information
Primary practice address
2485 Possum Run Rd
Mansfield OH 44903-9447
Phone: (419) 756-7295
Fax: (419) 756-7574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3710/P1203 | Ohio |
Profile Details
| NPI number | 1780686873 |
|---|---|
| LBN Legal business name | Riles, Holbrook |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Mar 3rd, 2014 - about 10 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 | 1780686873 | NPPES |
| Ohio | MEDICAID | 0546172 |
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