Perrott, Richard A

Perrott, Richard A is an sole proprietor health care provider with primary practice located at 15 Ne 5Th St , Grand Rapids MN 55744-2601. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Perrott, Richard A can be contacted via phone (218) 327-1148.

Contact Information

Primary practice address
15 Ne 5Th St Grand Rapids MN 55744-2601
Phone: (218) 327-1148
Fax: (218) 327-0386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1638 Minnesota

Profile Details

NPI number 1700968336
LBN Legal business name Perrott, Richard A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700968336 NPPES
Minnesota Other 22-00208 MEDICA
Minnesota Other 983831011287 MEDICA
Minnesota Other 70514PE MEDICA

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