Kautz, Robert Wayne

Kautz, Robert Wayne is an sole proprietor health care provider with primary practice located at 111 S 24Th St W Ste 1 , Billings MT 59102-5659. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kautz, Robert Wayne can be contacted via phone (406) 248-1676.

Contact Information

Primary practice address
111 S 24Th St W Ste 1 Billings MT 59102-5659
Fax: (440) 624-5354
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 596 Montana

Profile Details

NPI number 1568432334
LBN Legal business name Kautz, Robert Wayne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Mar 11th, 2011 - about 15 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 1568432334 NPPES
Montana Other 410036137 RR MEDICARE
Montana Other 1219700001 RR MEDICARE
Montana Other 25971 RR MEDICARE
Montana Other 8999 RR MEDICARE
Montana MEDICAID 0480488 RR MEDICARE
Montana Other 25971 RR MEDICARE

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