Kiella, Patrick J
Kiella, Patrick J is an sole proprietor health care provider with primary practice located at 522 S Garfield Ave , Traverse City MI 49686-3452. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kiella, Patrick J can be contacted via phone (231) 947-9500.Contact Information
Primary practice address
522 S Garfield Ave
Traverse City MI 49686-3452
Phone: (231) 947-9500
Fax: (231) 947-2767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002752 | Michigan |
Profile Details
| NPI number | 1588669857 |
|---|---|
| LBN Legal business name | Kiella, Patrick J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Mar 6th, 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 | 1588669857 | NPPES |
| Michigan | Other | 900B86507 | BLUE CROSS OF MI |
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