Yeager, Kenneth Anthony
Yeager, Kenneth Anthony is an individual health care provider with primary practice located at 2304 W Parker Rd , Greenville SC 29617-2123. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Yeager, Kenneth Anthony can be contacted via phone (864) 246-0964.Contact Information
Primary practice address
2304 W Parker Rd
Greenville SC 29617-2123
Phone: (864) 246-0964
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1027 | South Carolina |
Profile Details
| NPI number | 1568412344 |
|---|---|
| LBN Legal business name | Yeager, Kenneth Anthony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Oct 15th, 2020 - about 4 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 | 1568412344 | NPPES |
| South Carolina | MEDICAID | D10272 |
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