Ross, Brian Matthew
Ross, Brian Matthew is an individual health care provider with primary practice located at 643 Ohio St , Terre Haute IN 47807-3525. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ross, Brian Matthew can be contacted via phone (812) 232-0073.Contact Information
Primary practice address
643 Ohio St
Terre Haute IN 47807-3525
Phone: (812) 232-0073
Fax: (812) 232-0074
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 18003235A | Indiana |
Profile Details
NPI number | 1144213786 |
---|---|
LBN Legal business name | Ross, Brian Matthew |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2005 |
Last updated | Sep 9th, 2014 - about 11 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 | 1144213786 | NPPES |
Indiana | MEDICAID | 200444580 |
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