Martinson-Redekopp, Jill R
Martinson-Redekopp, Jill R is an individual health care provider with primary practice located at 2815 16Th St Sw , Minot ND 58701-6914. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Martinson-Redekopp, Jill R can be contacted via phone (701) 857-3500.Contact Information
Primary practice address
2815 16Th St Sw
Minot ND 58701-6914
Phone: (701) 857-3500
Fax: (701) 857-5792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 453 | North Dakota |
Profile Details
| NPI number | 1659469351 |
|---|---|
| LBN Legal business name | Martinson-Redekopp, Jill R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Dec 26th, 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 | 1659469351 | NPPES |
| North Dakota | MEDICAID | 60413 |
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