Brodkey, Daniel Louis

Brodkey, Daniel Louis is an individual health care provider with primary practice located at 5404 Morningside Ave , Sioux City IA 51106-3136. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brodkey, Daniel Louis can be contacted via phone (712) 274-2020.

Contact Information

Primary practice address
5404 Morningside Ave Sioux City IA 51106-3136
Phone: (712) 274-2020
Fax: (712) 274-7095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1635 Iowa

Profile Details

NPI number 1811997802
LBN Legal business name Brodkey, Daniel Louis
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2005
Last updated Dec 3rd, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811997802 NPPES
Iowa MEDICAID 0146670

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