Quitberg, Joy M

Quitberg, Joy M is an individual health care provider with primary practice located at 1245 Washington Ave , Detroit Lakes MN 56501-3905. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Quitberg, Joy M can be contacted via phone (218) 846-2000.

Contact Information

Primary practice address
1245 Washington Ave Detroit Lakes MN 56501-3905
Phone: (218) 846-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2897 Minnesota
Eye and Vision Services Providers / Optometrist 152W00000X 645 North Dakota

Profile Details

NPI number 1477583466
LBN Legal business name Quitberg, Joy M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Feb 8th, 2022 - about 3 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 1477583466 NPPES
Minnesota MEDICAID 903130800

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