Haisman, David Ray
Haisman, David Ray is an sole proprietor health care provider with primary practice located at 2200 17Th St , Spirit Lake IA 51360. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Haisman, David Ray can be contacted via phone (712) 336-8939.Contact Information
Primary practice address
2200 17Th St
Spirit Lake IA 51360
Phone: (712) 336-8939
Fax: (712) 336-8952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046009582 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002415 | Iowa |
Profile Details
| NPI number | 1104902923 |
|---|---|
| LBN Legal business name | Haisman, David Ray |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jun 17th, 2014 - about 11 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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