Stine, David Morris

Stine, David Morris is an individual health care provider with primary practice located at 5419 N Main St , Dayton OH 45415-3454. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stine, David Morris can be contacted via phone (937) 278-0675.

Contact Information

Primary practice address
5419 N Main St Dayton OH 45415-3454
Fax: (937) 278-9535
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3003T1469 Ohio

Profile Details

NPI number 1942207717
LBN Legal business name Stine, David Morris
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 3rd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942207717 NPPES
Ohio MEDICAID 0228980

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