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
Phone: (952) 233-2955
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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 17 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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