Schroeder, Justin Michael
Schroeder, Justin Michael is an individual health care provider with primary practice located at 400 Ward Ave , Caruthersville MO 63830-1451. He recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as his primary health care specialty. Schroeder, Justin Michael can be contacted via phone (573) 333-3937.Contact Information
Primary practice address
400 Ward Ave
Caruthersville MO 63830-1451
Phone: (573) 333-3937
Fax: (573) 333-3938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | TN2451 | Tennessee |
Profile Details
| NPI number | 1215984224 |
|---|---|
| LBN Legal business name | Schroeder, Justin Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Dec 12th, 2018 - about 8 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 | 1215984224 | NPPES |
| Tennessee | Other | 150674 | BETTER HEALTH |
| Tennessee | MEDICAID | 3722767 | BETTER HEALTH |
| Tennessee | Other | 4067790 | BETTER HEALTH |
| Tennessee | Other | 0797303 | BETTER HEALTH |
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