Ketcher, Michelle
Ketcher, Michelle is an sole proprietor health care provider with primary practice located at 9375 66Th St N , Pinellas Park FL 33782-4418. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ketcher, Michelle can be contacted via phone (727) 541-4469.Contact Information
Primary practice address
9375 66Th St N
Pinellas Park FL 33782-4418
Phone: (727) 541-4469
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6209 | Florida |
Profile Details
| NPI number | 1942908512 |
|---|---|
| LBN Legal business name | Ketcher, Michelle |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2023 |
| Last updated | Feb 22nd, 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 | 1942908512 | NPPES |
| Other | 15862567 | CAQH |
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