Colby, Dirk S

Colby, Dirk S is an individual health care provider with primary practice located at 5851 Duluth St Ste 215, Golden Valley MN 55422-3956. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Colby, Dirk S can be contacted via phone (763) 546-8422.

Contact Information

Primary practice address
5851 Duluth St Ste 215 Golden Valley MN 55422-3956
Phone: (763) 546-8422
Fax: (763) 546-8114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2668 Minnesota

Profile Details

NPI number 1548266273
LBN Legal business name Colby, Dirk S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Apr 23rd, 2013 - about 11 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 1548266273 NPPES
Minnesota Other 410042866 RAILROAD MEDICARE
Minnesota Other 2200705 RAILROAD MEDICARE
Minnesota MEDICAID 013537200 RAILROAD MEDICARE
Minnesota Other 69Q24CO RAILROAD MEDICARE

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