Kistner, William Charles
Kistner, William Charles is an sole proprietor health care provider with primary practice located at 2601 Blue Ridge Rd Ste 101, Raleigh NC 27607-6481. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kistner, William Charles can be contacted via phone (919) 787-7181.Contact Information
Primary practice address
2601 Blue Ridge Rd Ste 101
Raleigh NC 27607-6481
Phone: (919) 787-7181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1249 | North Carolina |
Profile Details
| NPI number | 1225022296 |
|---|---|
| LBN Legal business name | Kistner, William Charles |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Nov 29th, 2009 - about 17 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 | 1225022296 | NPPES |
| North Carolina | MEDICAID | 890926G |
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