Gronquist, Joanne
Gronquist, Joanne is an individual health care provider with primary practice located at 1805 State St Suite B, Santa Barbara CA 93101-8415. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gronquist, Joanne can be contacted via phone (805) 569-1504.Contact Information
Primary practice address
1805 State St Suite B
Santa Barbara CA 93101-8415
Phone: (805) 569-1504
Fax: (805) 569-8707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10965T | California |
Profile Details
| NPI number | 1518938117 |
|---|---|
| LBN Legal business name | Gronquist, Joanne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Sep 11th, 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 | 1518938117 | NPPES |
| California | Other | 10965T | CA STATE LICENSE NUMBER |
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