Molde, James A
Molde, James A is an individual health care provider with primary practice located at 506 Beltrami Ave Nw , Bemidji MN 56601-3010. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Molde, James A can be contacted via phone (218) 751-2020.Contact Information
Primary practice address
506 Beltrami Ave Nw
Bemidji MN 56601-3010
Phone: (218) 751-2020
Fax: (218) 759-9228
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1728 | Minnesota |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1728 | Minnesota |
Profile Details
NPI number | 1760529408 |
---|---|
LBN Legal business name | Molde, James A |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2007 |
Last updated | Nov 30th, 2011 - about 13 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 | 1760529408 | NPPES |
Other | 1018420 | PREFERREDONE | |
Other | 48B51MO | PREFERREDONE | |
Other | HP29311 | PREFERREDONE | |
MEDICAID | 794523000 | PREFERREDONE | |
Other | 28771 | PREFERREDONE |
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