Eldred, David Carlyle
Eldred, David Carlyle is an sole proprietor health care provider with primary practice located at 2029 Bluegrass Cir , Cheyenne WY 82009-7368. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Eldred, David Carlyle can be contacted via phone (307) 638-2020.Contact Information
Primary practice address
2029 Bluegrass Cir
Cheyenne WY 82009-7368
Phone: (307) 638-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 250-T | Wyoming |
Profile Details
| NPI number | 1407812027 |
|---|---|
| LBN Legal business name | Eldred, David Carlyle |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2006 |
| Last updated | Jan 13th, 2015 - about 11 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 | 1407812027 | NPPES |
| Wyoming | MEDICAID | 113391800 |
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