Arnett, Edsel Gardner
Arnett, Edsel Gardner is an individual health care provider with primary practice located at 1002 S Broadway St , Georgetown KY 40324-1463. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Arnett, Edsel Gardner can be contacted via phone (502) 868-0422.Contact Information
Primary practice address
1002 S Broadway St
Georgetown KY 40324-1463
Phone: (502) 868-0422
Fax: (502) 867-1967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | KY693DT | Kentucky |
Profile Details
| NPI number | 1750539763 |
|---|---|
| LBN Legal business name | Arnett, Edsel Gardner |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2008 |
| Last updated | May 29th, 2012 - about 14 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 | 1750539763 | NPPES |
| Kentucky | Other | KY693DT | STATE LICENSE NUMBER |
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