Dalen, Darwin
Dalen, Darwin is an individual health care provider with primary practice located at 201 Nw 4Th St , Grand Rapids MN 55744-2753. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dalen, Darwin can be contacted via phone (218) 326-9619.Contact Information
Primary practice address
201 Nw 4Th St
Grand Rapids MN 55744-2753
Phone: (218) 326-9619
Fax: (218) 326-9619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2529 | Minnesota |
Profile Details
| NPI number | 1417954553 |
|---|---|
| LBN Legal business name | Dalen, Darwin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Apr 3rd, 2008 - about 16 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 | 1417954553 | NPPES |
| Minnesota | Other | 5C957DA | BLUE CROSS BLUE SHIELD |
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