Nordquist, Joseph James

Nordquist, Joseph James is an individual health care provider with primary practice located at 2501 24Th St , Rock Island IL 61201-5300. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nordquist, Joseph James can be contacted via phone (309) 788-0604.

Contact Information

Primary practice address
2501 24Th St Rock Island IL 61201-5300
Phone: (309) 788-0604
Fax: (309) 788-0611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046007115 Illinois

Profile Details

NPI number 1790778454
LBN Legal business name Nordquist, Joseph James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Nov 4th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790778454 NPPES
Illinois MEDICAID 046007115

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