Shetzline, Richard Michael
Shetzline, Richard Michael is an individual health care provider with primary practice located at 4423 Rte 130 South , Burlington NJ 08016. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shetzline, Richard Michael can be contacted via phone (609) 386-0202.Contact Information
Primary practice address
4423 Rte 130 South
Burlington NJ 08016
Phone: (609) 386-0202
Fax: (609) 386-5927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5549 | New Jersey |
Profile Details
| NPI number | 1922173251 |
|---|---|
| LBN Legal business name | Shetzline, Richard Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jan 21st, 2010 - about 16 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 | 1922173251 | NPPES |
| New Jersey | MEDICAID | 8757501 |
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