Kelsey, Easton Clint
Kelsey, Easton Clint is an individual health care provider with primary practice located at 3651 Wall Ave Ste 1226 , Ogden UT 84405-2007. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kelsey, Easton Clint can be contacted via phone (480) 732-9040.Contact Information
Primary practice address
3651 Wall Ave Ste 1226
Ogden UT 84405-2007
Phone: (480) 732-9040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11008385-9934 | Utah |
Profile Details
| NPI number | 1063470466 |
|---|---|
| LBN Legal business name | Kelsey, Easton Clint |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jun 27th, 2023 - about 3 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 | 1063470466 | NPPES |
| North Carolina | MEDICAID | 8909164 |
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