Thacker, Robert Mitchell
Thacker, Robert Mitchell is an individual health care provider with primary practice located at 1466 Broad St , Providence RI 02905-2836. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Thacker, Robert Mitchell can be contacted via phone (401) 941-6221.Contact Information
Primary practice address
1466 Broad St
Providence RI 02905-2836
Phone: (401) 941-6221
Fax: (401) 941-6227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODTA00456 | Rhode Island |
Profile Details
| NPI number | 1003874991 |
|---|---|
| LBN Legal business name | Thacker, Robert Mitchell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Sep 19th, 2013 - about 12 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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