Perez, Michael
Perez, Michael is an individual health care provider with primary practice located at 206 Pleasant Ave S , Park Rapids MN 56470-1417. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Perez, Michael can be contacted via phone (218) 732-3389.Contact Information
Primary practice address
206 Pleasant Ave S
Park Rapids MN 56470-1417
Phone: (218) 732-3389
Fax: (218) 732-5994
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1717 | Minnesota |
Profile Details
NPI number | 1164482246 |
---|---|
LBN Legal business name | Perez, Michael |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Apr 16th, 2008 - 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 | 1164482246 | NPPES |
Minnesota | MEDICAID | 704523900 |
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