Wolber, Kent Randall
Wolber, Kent Randall is an individual health care provider with primary practice located at 175 Shinn Ln , Hannibal MO 63401-6754. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wolber, Kent Randall can be contacted via phone (573) 406-5730.Contact Information
Primary practice address
175 Shinn Ln
Hannibal MO 63401-6754
Phone: (573) 406-5730
Fax: (573) 406-1369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02786 | Missouri |
Profile Details
| NPI number | 1104883560 |
|---|---|
| LBN Legal business name | Wolber, Kent Randall |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Apr 23rd, 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 | 1104883560 | NPPES |
| Missouri | MEDICAID | 312852700 |
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