Zajicek, Richard Mark
Zajicek, Richard Mark is an sole proprietor health care provider with primary practice located at 3141 S Veterans Pkwy , Springfield IL 62704-6565. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Zajicek, Richard Mark can be contacted via phone (217) 793-2273.Contact Information
Primary practice address
3141 S Veterans Pkwy
Springfield IL 62704-6565
Phone: (217) 793-2273
Fax: (217) 793-2278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046007387 | Illinois |
Profile Details
| NPI number | 1255479358 |
|---|---|
| LBN Legal business name | Zajicek, Richard Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1255479358 | NPPES |
| Illinois | Other | 047933072 | IL ANCILLARY LIC ALGONQUI |
| Illinois | Other | 046007387 | IL ANCILLARY LIC ALGONQUI |
| Illinois | Other | 1684405 | IL ANCILLARY LIC ALGONQUI |
| Illinois | Other | 346000315 | IL ANCILLARY LIC ALGONQUI |
| Illinois | Other | 346002621 | IL ANCILLARY LIC ALGONQUI |
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