Kirn, Edward Bruce
Kirn, Edward Bruce is an sole proprietor health care provider with primary practice located at 249 Main Street , Lewiston ME 04240-7053. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kirn, Edward Bruce can be contacted via phone (207) 783-9653.Contact Information
Primary practice address
249 Main Street
Lewiston ME 04240-7053
Phone: (207) 783-9653
Fax: (207) 782-3153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT504 | Maine |
Profile Details
| NPI number | 1821013913 |
|---|---|
| LBN Legal business name | Kirn, Edward Bruce |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Apr 3rd, 2012 - about 14 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 | 1821013913 | NPPES |
| Maine | MEDICAID | 1821013913 | |
| Maine | MEDICAID | 240380099 |
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