Betterly Wallen, Sara Rae

Betterly Wallen, Sara Rae is an individual health care provider with primary practice located at 2330 Sioux Trl Nw , Prior Lake MN 55372-9077. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Betterly Wallen, Sara Rae can be contacted via phone (952) 233-2955.

Contact Information

Primary practice address
2330 Sioux Trl Nw Prior Lake MN 55372-9077
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3116 Minnesota

Profile Details

NPI number 1316102643
LBN Legal business name Betterly Wallen, Sara Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2008
Last updated Jul 25th, 2008 - about 16 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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