Blaurock, Burton Charles
Blaurock, Burton Charles is an sole proprietor health care provider with primary practice located at 42452 Bob Hope Dr Suite 1, Rancho Mirage CA 92270-4470. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blaurock, Burton Charles can be contacted via phone (760) 340-4524.Contact Information
Primary practice address
42452 Bob Hope Dr Suite 1
Rancho Mirage CA 92270-4470
Phone: (760) 340-4524
Fax: (760) 340-4796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5996T | California |
Profile Details
| NPI number | 1194719302 |
|---|---|
| LBN Legal business name | Blaurock, Burton Charles |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Oct 13th, 2016 - about 8 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 | 1194719302 | NPPES |
| California | MEDICAID | SD0059960 |
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