Abbott, Carl G
Abbott, Carl G is an individual health care provider with primary practice located at 2753 South Clark , Mexico MO 65265. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Abbott, Carl G can be contacted via phone (573) 581-8668.Contact Information
Primary practice address
2753 South Clark
Mexico MO 65265
Phone: (573) 581-8668
Fax: (573) 581-8850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T03251 | Missouri |
Profile Details
| NPI number | 1184605719 |
|---|---|
| LBN Legal business name | Abbott, Carl G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1184605719 | NPPES |
| Missouri | Other | 168751 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 2353639 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 53566 | BLUE CROSS BLUE SHIELD |
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