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Contact Information

C B MCINNISH, OD PA
106 W JACKSON ST
BREWTON, AL36426-1516
 Phone: 251-867-3635
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for C B MCINNISH OD PA · (Female)

NPI Number 1548391337
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2007
Last updated 04/08/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # S-312-TA-059
  • AL Other 51092846 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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