Dilly, Breckenridge Charles

Dilly, Breckenridge Charles is an individual health care provider with primary practice located at 3012 Anderson Ave , Manhattan KS 66503-2809. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dilly, Breckenridge Charles can be contacted via phone (785) 537-1118.

Contact Information

Primary practice address
3012 Anderson Ave Manhattan KS 66503-2809
Phone: (785) 537-1118
Fax: (785) 537-8005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X KS-1546 Kansas

Profile Details

NPI number 1326029216
LBN Legal business name Dilly, Breckenridge Charles
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 1st, 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 1326029216 NPPES
Kansas Other 410048649 RAILROAD MEDICARE
Kansas MEDICAID 100361140C RAILROAD MEDICARE
Kansas Other 650723 RAILROAD MEDICARE
Kansas Other 650771 RAILROAD MEDICARE

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