Kimball, Lynde Harrison
Kimball, Lynde Harrison is an sole proprietor health care provider with primary practice located at 1222 Putney Rd , Brattleboro VT 05301-9062. He recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as his primary health care specialty. Kimball, Lynde Harrison can be contacted via phone (802) 254-6900.Contact Information
Primary practice address
1222 Putney Rd
Brattleboro VT 05301-9062
Phone: (802) 254-6900
Fax: (802) 254-7610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 030-0000113 | Vermont |
Profile Details
| NPI number | 1871609727 |
|---|---|
| LBN Legal business name | Kimball, Lynde Harrison |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 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 | 1871609727 | NPPES |
| Vermont | MEDICAID | 7910 | |
| Vermont | Other | 03-0298152 | |
| Vermont | Other | KIMB 077-6175 |
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