Duvall, Robert Burlien

Duvall, Robert Burlien is an individual health care provider with primary practice located at 2625 Nashville Rd Ste 101 , Bowling Green KY 42101-4098. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Duvall, Robert Burlien can be contacted via phone (270) 781-3937.

Contact Information

Primary practice address
2625 Nashville Rd Ste 101 Bowling Green KY 42101-4098
Phone: (270) 781-3937
Fax: (270) 783-3435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1314DT Kentucky

Profile Details

NPI number 1548312481
LBN Legal business name Duvall, Robert Burlien
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jan 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548312481 NPPES
Kentucky Other 800001 INDIVIDUAL MEDICARE PTAN FOR PRECISION EYE CARE
Kentucky MEDICAID 77013142 INDIVIDUAL MEDICARE PTAN FOR PRECISION EYE CARE

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