Egan, Kaila Cynthia
Egan, Kaila Cynthia is an sole proprietor health care provider with primary practice located at 918 Decathlon Dr , Waterloo IA 50701-3441. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Egan, Kaila Cynthia can be contacted via phone (319) 236-2020.Contact Information
Primary practice address
918 Decathlon Dr
Waterloo IA 50701-3441
Phone: (319) 236-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002596 | Iowa |
Profile Details
| NPI number | 1851739213 |
|---|---|
| LBN Legal business name | Egan, Kaila Cynthia |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2013 |
| Last updated | Nov 18th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851739213 | NPPES |
| Iowa | MEDICAID | IB2898001 |
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