Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician |
NPI | 1043256449 |
---|---|
Provider Name | Mr. James E Kaiser |
First Address | Harrisville, MI 48740-9686 |
Second Address | Alpena, MI 49707-4654 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 29/05/2009 |