Kresnak, Chad Martin
Kresnak, Chad Martin is an individual health care provider with primary practice located at 915 W Green St Suite 101, Hastings MI 49058-1723. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kresnak, Chad Martin can be contacted via phone (269) 945-3866.Contact Information
Primary practice address
915 W Green St Suite 101
Hastings MI 49058-1723
Phone: (269) 945-3866
Fax: (269) 945-9388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901004439 | Michigan |
Profile Details
| NPI number | 1134329097 |
|---|---|
| LBN Legal business name | Kresnak, Chad Martin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2007 |
| Last updated | Aug 26th, 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 | 1134329097 | NPPES |
| Minnesota | Other | 0Z81066 | BCBSM |
| Minnesota | Other | 0M43420003 | BCBSM |
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