Bundy, Joseph
Bundy, Joseph is an individual health care provider with primary practice located at 1001 Highway 15 S , Fairmont MN 56031-4456. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bundy, Joseph can be contacted via phone (507) 238-9490.Contact Information
Primary practice address
1001 Highway 15 S
Fairmont MN 56031-4456
Phone: (507) 238-9490
Fax: (507) 238-9038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1829 | Minnesota |
Profile Details
| NPI number | 1598829111 |
|---|---|
| LBN Legal business name | Bundy, Joseph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | May 10th, 2017 - 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 | 1598829111 | NPPES |
| Minnesota | MEDICAID | 437023600 |
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