Krall, Jeff
Krall, Jeff is an individual health care provider with primary practice located at 1415 N Sanborn Blvd , Mitchell SD 57301-1015. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Krall, Jeff can be contacted via phone (605) 996-2020.Contact Information
Primary practice address
1415 N Sanborn Blvd
Mitchell SD 57301-1015
Phone: (605) 996-2020
Fax: (605) 990-3937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 458 | South Dakota |
Profile Details
| NPI number | 1083741839 |
|---|---|
| LBN Legal business name | Krall, Jeff |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jul 8th, 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 | 1083741839 | NPPES |
| South Dakota | Other | 458 | STATE LICENSE |
| South Dakota | MEDICAID | 9202572 | STATE LICENSE |
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