Werner, David Michael

Werner, David Michael is an individual health care provider with primary practice located at 362 St. Clair Highway , Pottsville PA 17901. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Werner, David Michael can be contacted via phone (570) 621-2020.

Contact Information

Primary practice address
362 St. Clair Highway Pottsville PA 17901
Fax: (570) 628-4933
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001492 Pennsylvania

Profile Details

NPI number 1710035712
LBN Legal business name Werner, David Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jun 14th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710035712 NPPES
Pennsylvania MEDICAID 1025215740001

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