Hathaway, Rodney Alan

Hathaway, Rodney Alan is an sole proprietor health care provider with primary practice located at 15175 S Dixie Hwy , Monroe MI 48161-5038. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hathaway, Rodney Alan can be contacted via phone (734) 243-0370.

Contact Information

Primary practice address
15175 S Dixie Hwy Monroe MI 48161-5038
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901002726 Michigan

Profile Details

NPI number 1093866899
LBN Legal business name Hathaway, Rodney Alan
Credentials O.D. PHD.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Nov 29th, 2007 - about 19 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 1093866899 NPPES
Michigan MEDICAID 5085557

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