Vankeuren, Joseph
Vankeuren, Joseph is an sole proprietor health care provider with primary practice located at 1212 Abbe Road North Ste B, Elyria OH 44035. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vankeuren, Joseph can be contacted via phone (440) 365-2021.Contact Information
Primary practice address
1212 Abbe Road North Ste B
Elyria OH 44035
Phone: (440) 365-2021
Fax: (440) 365-2033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4057T121 | Ohio |
Profile Details
| NPI number | 1861508624 |
|---|---|
| LBN Legal business name | Vankeuren, Joseph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Aug 3rd, 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 | 1861508624 | NPPES |
| Ohio | MEDICAID | 0773551 |
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