Vangilder, Robert Ellis
Vangilder, Robert Ellis is an individual health care provider with primary practice located at 1661 Jungermann Rd , Saint Peters MO 63304-2821. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vangilder, Robert Ellis can be contacted via phone (636) 447-9772.Contact Information
Primary practice address
1661 Jungermann Rd
Saint Peters MO 63304-2821
Phone: (636) 447-9772
Fax: (636) 447-6476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02318 | Missouri |
Profile Details
| NPI number | 1326046087 |
|---|---|
| LBN Legal business name | Vangilder, Robert Ellis |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326046087 | NPPES |
| Missouri | Other | T02318 | LICENSE NUMBER |
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