Carl, Brian W

Carl, Brian W is an individual health care provider with primary practice located at 2791 S Queen St , Dallastown PA 17313-9540. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carl, Brian W can be contacted via phone (717) 741-4788.

Contact Information

Primary practice address
2791 S Queen St Dallastown PA 17313-9540
Phone: (717) 741-4788
Fax: (717) 747-9111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000018 Pennsylvania

Profile Details

NPI number 1780670802
LBN Legal business name Carl, Brian W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Mar 7th, 2008 - about 17 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 1780670802 NPPES
Pennsylvania Other 02146501 BLUE CROSS
Pennsylvania Other 828704 BLUE CROSS
Pennsylvania Other 0165770001 BLUE CROSS

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