Elverum, John M
Elverum, John M is an sole proprietor health care provider with primary practice located at 7013 10Th St N , Oakdale MN 55128-5938. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Elverum, John M can be contacted via phone (651) 738-8040.Contact Information
Primary practice address
7013 10Th St N
Oakdale MN 55128-5938
Phone: (651) 738-8040
Fax: (651) 714-0759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1460 | Minnesota |
Profile Details
| NPI number | 1053463554 |
|---|---|
| LBN Legal business name | Elverum, John M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053463554 | NPPES |
| Minnesota | Other | 101869 | UCARE |
| Minnesota | Other | 2222625 | UCARE |
| Minnesota | Other | 47785 | UCARE |
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