Kimball, Douglas J
Kimball, Douglas J is an individual health care provider with primary practice located at 91 W Madison Ave Suite B, Belgrade MT 59714-3901. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kimball, Douglas J can be contacted via phone (406) 388-1988.Contact Information
Primary practice address
91 W Madison Ave Suite B
Belgrade MT 59714-3901
Phone: (406) 388-1988
Fax: (406) 388-2488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 559 | Montana |
Profile Details
| NPI number | 1932134475 |
|---|---|
| LBN Legal business name | Kimball, Douglas J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1932134475 | NPPES |
| Other | 25871 | BLUE CROSS | |
| Other | 5276810001 | BLUE CROSS | |
| MEDICAID | 048-3704 | BLUE CROSS |
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