Dagenais, Verne
Dagenais, Verne is an individual health care provider with primary practice located at 182 W 32Nd St , Yuma AZ 85364-8127. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dagenais, Verne can be contacted via phone (928) 726-7757.Contact Information
Primary practice address
182 W 32Nd St
Yuma AZ 85364-8127
Phone: (928) 726-7757
Fax: (928) 726-2239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1724 | Arizona |
Profile Details
| NPI number | 1528122173 |
|---|---|
| LBN Legal business name | Dagenais, Verne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Dec 3rd, 2015 - about 9 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 | 1528122173 | NPPES |
| Arizona | MEDICAID | 481197 |
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