Siegmund, Kelle
Siegmund, Kelle is an individual health care provider with primary practice located at 10820 N Kings Hwy , Myrtle Beach SC 29572. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Siegmund, Kelle can be contacted via phone (843) 467-2060.Contact Information
Primary practice address
10820 N Kings Hwy
Myrtle Beach SC 29572
Phone: (843) 467-2060
Fax: (843) 692-3094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | SC1390 | South Carolina |
Profile Details
| NPI number | 1528120144 |
|---|---|
| LBN Legal business name | Siegmund, Kelle |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1528120144 | NPPES |
| South Carolina | MEDICAID | D13901 | |
| South Carolina | Other | 40924 |
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