Canestrini, Richard P

Canestrini, Richard P is an individual health care provider with primary practice located at 544 Broadway St , Rock Springs WY 82901-6346. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Canestrini, Richard P can be contacted via phone (307) 382-3937.

Contact Information

Primary practice address
544 Broadway St Rock Springs WY 82901-6346
Phone: (307) 382-3937
Fax: (307) 382-2918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 161T Wyoming

Profile Details

NPI number 1932108677
LBN Legal business name Canestrini, Richard P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated May 2nd, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932108677 NPPES
Wyoming MEDICAID 104186000

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