Stites, Carl Louis
Stites, Carl Louis is an individual health care provider with primary practice located at 6840 Northway Dr Ne Suite A, Rockford MI 49341-7568. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stites, Carl Louis can be contacted via phone (616) 863-2020.Contact Information
Primary practice address
6840 Northway Dr Ne Suite A
Rockford MI 49341-7568
Phone: (616) 863-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003291 | Michigan |
Profile Details
| NPI number | 1013909415 |
|---|---|
| LBN Legal business name | Stites, Carl Louis |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jun 8th, 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 | 1013909415 | NPPES |
| Michigan | Other | 900D117550 | BCBSM |
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