Amstutz, Grant C
Amstutz, Grant C is an individual health care provider with primary practice located at 31 Bobby Bland Way , Leitchfield KY 42754-1744. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Amstutz, Grant C can be contacted via phone (270) 259-0500.Contact Information
Primary practice address
31 Bobby Bland Way
Leitchfield KY 42754-1744
Phone: (270) 259-0500
Fax: (270) 259-0079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003059A | Indiana |
Profile Details
| NPI number | 1902898547 |
|---|---|
| LBN Legal business name | Amstutz, Grant C |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Oct 2nd, 2023 - about 3 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 | 1902898547 | NPPES |
| Indiana | MEDICAID | 200917980 | |
| Indiana | Other | 248880 |
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