Stern, Alvin Ira
Stern, Alvin Ira is an sole proprietor health care provider with primary practice located at 75 W Main St , Penns Grove NJ 08069-1301. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stern, Alvin Ira can be contacted via phone (856) 299-2112.Contact Information
Primary practice address
75 W Main St
Penns Grove NJ 08069-1301
Phone: (856) 299-2112
Fax: (856) 299-2147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | AO 4037 | New Jersey |
Profile Details
| NPI number | 1003819236 |
|---|---|
| LBN Legal business name | Stern, Alvin Ira |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | May 18th, 2009 - about 16 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 | 1003819236 | NPPES |
| New Jersey | MEDICAID | 1514806 |
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