Cagnolatti, Robert Dale

Cagnolatti, Robert Dale is an sole proprietor health care provider with primary practice located at 1812 Roselawn Ave , Monroe LA 71201-5434. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cagnolatti, Robert Dale can be contacted via phone (318) 387-9626.

Contact Information

Primary practice address
1812 Roselawn Ave Monroe LA 71201-5434
Fax: (318) 325-9425
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 883-328T Louisiana

Profile Details

NPI number 1174549158
LBN Legal business name Cagnolatti, Robert Dale
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Aug 25th, 2010 - about 14 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 1174549158 NPPES
Louisiana MEDICAID 1351865

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