Recker, Michael Louis

Recker, Michael Louis is an individual health care provider with primary practice located at 410 Louisiana Ave , Perrysburg OH 43551-2269. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Recker, Michael Louis can be contacted via phone (419) 872-2020.

Contact Information

Primary practice address
410 Louisiana Ave Perrysburg OH 43551-2269
Phone: (419) 872-2020
Fax: (419) 872-2029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4870 Ohio

Profile Details

NPI number 1891770434
LBN Legal business name Recker, Michael Louis
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Apr 14th, 2014 - about 12 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 1891770434 NPPES
Ohio Other 000000360076 BLUE CROSS BLUE SHIE PIN
Ohio MEDICAID 2046708 BLUE CROSS BLUE SHIE PIN

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