Schlauderaff, Larry James

Schlauderaff, Larry James is an individual health care provider with primary practice located at 202 Nw 1St Ave , Grand Rapids MN 55744-2703. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Schlauderaff, Larry James can be contacted via phone (218) 326-0358.

Contact Information

Primary practice address
202 Nw 1St Ave Grand Rapids MN 55744-2703
Phone: (218) 326-0358
Fax: (218) 326-0566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X MN2415 Minnesota

Profile Details

NPI number 1477748085
LBN Legal business name Schlauderaff, Larry James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2007
Last updated May 22nd, 2008 - about 16 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 1477748085 NPPES
Other 3C837EY BLUE SHIELD
Other 3C837EY BLUE SHIELD
Other 3C838SC BLUE SHIELD
Other 3C838SC BLUE SHIELD
Other 2200897 BLUE SHIELD
Other HP29720 BLUE SHIELD
Other 4C427EY BLUE SHIELD
Other 1008835 BLUE SHIELD
Other 974251008835 BLUE SHIELD
Other U33589 BLUE SHIELD
Other U33589 BLUE SHIELD
MEDICAID 611825900 BLUE SHIELD
Other U33589 BLUE SHIELD

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