Minie, Stevin R
Minie, Stevin R is an sole proprietor health care provider with primary practice located at 8391 Topanga Canyon Blvd , Canoga Park CA 91304-2343. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Minie, Stevin R can be contacted via phone (818) 363-7828.Contact Information
Primary practice address
8391 Topanga Canyon Blvd
Canoga Park CA 91304-2343
Phone: (818) 363-7828
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 09166T | California |
Profile Details
| NPI number | 1629142278 |
|---|---|
| LBN Legal business name | Minie, Stevin R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jul 9th, 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 | 1629142278 | NPPES |
| California | MEDICAID | SD0091660 |
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