Rudser, Amy M
Rudser, Amy M is an sole proprietor health care provider with primary practice located at 17685 Juniper Path Suite 205, Lakeville MN 55044. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Rudser, Amy M can be contacted via phone (952) 898-4088.Contact Information
Primary practice address
17685 Juniper Path Suite 205
Lakeville MN 55044
Phone: (952) 898-4088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | LD 3031000 | Minnesota |
Profile Details
| NPI number | 1760499537 |
|---|---|
| LBN Legal business name | Rudser, Amy M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Oct 5th, 2016 - about 8 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 | 1760499537 | NPPES |
| Minnesota | MEDICAID | 767645000 |
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