Dorfzaun, Sander Sol
Dorfzaun, Sander Sol is an sole proprietor health care provider with primary practice located at 2972 Canton Rd , Marietta GA 30066-3877. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dorfzaun, Sander Sol can be contacted via phone (770) 422-3677.Contact Information
Primary practice address
2972 Canton Rd
Marietta GA 30066-3877
Phone: (770) 422-3677
Fax: (770) 422-5814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT000754 | Georgia |
Profile Details
| NPI number | 1699804120 |
|---|---|
| LBN Legal business name | Dorfzaun, Sander Sol |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1699804120 | NPPES |
| Georgia | MEDICAID | 00082607A | |
| Georgia | Other | 0866240001 |
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