Chivetta, Mary
Chivetta, Mary is an individual health care provider with primary practice located at 915 N Grand Blvd , Saint Louis MO 63106-1621. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Chivetta, Mary can be contacted via phone (314) 652-4100.Contact Information
Primary practice address
915 N Grand Blvd
Saint Louis MO 63106-1621
Phone: (314) 652-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2019018530 | Missouri |
Profile Details
| NPI number | 1508418245 |
|---|---|
| LBN Legal business name | Chivetta, Mary |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2019 |
| Last updated | Jul 12th, 2019 - about 7 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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