Bugajski, Kimberley Anne

Bugajski, Kimberley Anne is an individual health care provider with primary practice located at 10600 Old County Road 15 , Plymouth MN 55441-6210. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bugajski, Kimberley Anne can be contacted via phone (763) 545-8850.

Contact Information

Primary practice address
10600 Old County Road 15 Plymouth MN 55441-6210
Phone: (763) 545-8850
Fax: (763) 544-1257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X LD2371000 Minnesota

Profile Details

NPI number 1962503524
LBN Legal business name Bugajski, Kimberley Anne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Dec 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962503524 NPPES
Minnesota Other 977521015898 PREFERRED ONE
Minnesota Other 417R5BU PREFERRED ONE
Minnesota MEDICAID 751525100 PREFERRED ONE
Minnesota Other 2200102 PREFERRED ONE

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