Streeter, Michael L.
Streeter, Michael L. is an individual health care provider with primary practice located at 1650 Cochrane Cir Unit Meddac , Fort Carson CO 80913-4604. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Streeter, Michael L. can be contacted via phone (719) 526-7450.Contact Information
Primary practice address
1650 Cochrane Cir Unit Meddac
Fort Carson CO 80913-4604
Phone: (719) 526-7450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT.0003728 | Colorado |
Profile Details
| NPI number | 1598334898 |
|---|---|
| LBN Legal business name | Streeter, Michael L. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2021 |
| Last updated | Apr 26th, 2024 - about 8 months 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 | 1598334898 | NPPES |
| Colorado | MEDICAID | PENDING |
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