Schrock, Duane Michael
Schrock, Duane Michael is an sole proprietor health care provider with primary practice located at 118 Lottie Ln , Fairhope AL 36532-2995. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Schrock, Duane Michael can be contacted via phone (251) 928-4076.Contact Information
Primary practice address
118 Lottie Ln
Fairhope AL 36532-2995
Phone: (251) 928-4076
Fax: (251) 928-9461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S741TA186 | Alabama |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2793 | Florida |
Profile Details
| NPI number | 1114013166 |
|---|---|
| LBN Legal business name | Schrock, Duane Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jan 4th, 2013 - about 13 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 | 1114013166 | NPPES |
| Alabama | MEDICAID | 051500009 |
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