Garofalo, Rafe
Garofalo, Rafe is an individual health care provider with primary practice located at 110 Evergreen Square , Pine City MN 55063. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Garofalo, Rafe can be contacted via phone (320) 629-7262.Contact Information
Primary practice address
110 Evergreen Square
Pine City MN 55063
Phone: (320) 629-7262
Fax: (320) 627-7789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2612 | Minnesota |
Profile Details
| NPI number | 1639102114 |
|---|---|
| LBN Legal business name | Garofalo, Rafe |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1639102114 | NPPES |
| Minnesota | MEDICAID | 790218200 |
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