Stein, Kenneth Alan
Stein, Kenneth Alan is an individual health care provider with primary practice located at 3545 Macnichol Trl , West Bloomfield MI 48323-1736. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stein, Kenneth Alan can be contacted via phone (248) 756-0078.Contact Information
Primary practice address
3545 Macnichol Trl
West Bloomfield MI 48323-1736
Phone: (248) 756-0078
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003157 | Michigan |
Profile Details
| NPI number | 1760510630 |
|---|---|
| LBN Legal business name | Stein, Kenneth Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Aug 7th, 2020 - about 4 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 | 1760510630 | NPPES |
| Michigan | MEDICAID | 1760510630 |
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