Kang, Sam Chadwell
Kang, Sam Chadwell is an sole proprietor health care provider with primary practice located at 3601 29Th Ave Sw , Cedar Rapids IA 52404-3109. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kang, Sam Chadwell can be contacted via phone (319) 390-9969.Contact Information
Primary practice address
3601 29Th Ave Sw
Cedar Rapids IA 52404-3109
Phone: (319) 390-9969
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02295 | Iowa |
Profile Details
| NPI number | 1922088038 |
|---|---|
| LBN Legal business name | Kang, Sam Chadwell |
| Credentials | O.D. (OPTOMETRIST) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Jun 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922088038 | NPPES |
| Iowa | Other | WELLMARK 38635 | OPTOMETRY |
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