Kitahata, Miki

Kitahata, Miki is an sole proprietor health care provider with primary practice located at 427 Hamilton St , Geneva IL 60134-2136. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kitahata, Miki can be contacted via phone (630) 232-7112.

Contact Information

Primary practice address
427 Hamilton St Geneva IL 60134-2136
Phone: (630) 232-7112
Fax: (630) 232-7160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-008170 Illinois

Profile Details

NPI number 1568455277
LBN Legal business name Kitahata, Miki
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2005
Last updated Aug 29th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568455277 NPPES
Illinois MEDICAID 046-008170

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