Dodge, Robert

Dodge, Robert is an individual health care provider with primary practice located at 12737 Riverdale Blvd Nw , Coon Rapids MN 55448-1253. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dodge, Robert can be contacted via phone (763) 433-3468.

Contact Information

Primary practice address
12737 Riverdale Blvd Nw Coon Rapids MN 55448-1253
Phone: (763) 433-3468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2510 Minnesota

Profile Details

NPI number 1164424370
LBN Legal business name Dodge, Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 9th, 2007 - about 17 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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