Shermetaro, Charles Gerard

Shermetaro, Charles Gerard is an sole proprietor health care provider with primary practice located at 48873 Hayes Rd , Shelby Township MI 48315-4405. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shermetaro, Charles Gerard can be contacted via phone (586) 247-2121.

Contact Information

Primary practice address
48873 Hayes Rd Shelby Township MI 48315-4405
Fax: (586) 532-7480
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003001 Michigan

Profile Details

NPI number 1982678454
LBN Legal business name Shermetaro, Charles Gerard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Jan 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982678454 NPPES
Michigan MEDICAID 944672833

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