Black, Levi Ryan
Black, Levi Ryan is an individual health care provider with primary practice located at 417 Main St Sw , Ronan MT 59864-2738. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Black, Levi Ryan can be contacted via phone (406) 676-3937.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT-OPT-LIC-4214 | Montana |
Profile Details
| NPI number | 1831768779 |
|---|---|
| LBN Legal business name | Black, Levi Ryan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2021 |
| Last updated | Jun 24th, 2021 - about 5 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 | 1831768779 | NPPES |
| Montana | MEDICAID | 1063764173 |
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