Valentine, Philip W

Valentine, Philip W is an sole proprietor health care provider with primary practice located at 739 Spruce Ave , Sidney OH 45365-0179. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Valentine, Philip W can be contacted via phone (937) 492-1990.

Contact Information

Primary practice address
739 Spruce Ave Sidney OH 45365-0179
Phone: (937) 492-1990
Fax: (937) 492-7230
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2815T1994 Ohio

Profile Details

NPI number 1487646816
LBN Legal business name Valentine, Philip W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2005
Last updated Sep 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487646816 NPPES
Kentucky Other 311195981 HUMANA
Kentucky Other 311195981026 HUMANA
Kentucky MEDICAID 0078679 HUMANA

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