Sunner, Gregg S

Sunner, Gregg S is an individual health care provider with primary practice located at 111 Nw 9Th St , Ankeny IA 50023-1754. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sunner, Gregg S can be contacted via phone (515) 964-7355.

Contact Information

Primary practice address
111 Nw 9Th St Ankeny IA 50023-1754
Fax: (515) 964-8413
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 01579 Iowa

Profile Details

NPI number 1750327078
LBN Legal business name Sunner, Gregg S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Dec 5th, 2011 - about 13 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 1750327078 NPPES
Iowa MEDICAID 0142919

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