Sollom, Joel
Sollom, Joel is an individual health care provider with primary practice located at 16105 Cedar Ave , Lakeville MN 55044-7213. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sollom, Joel can be contacted via phone (952) 985-6467.Contact Information
Primary practice address
16105 Cedar Ave
Lakeville MN 55044-7213
Phone: (952) 985-6467
Fax: (952) 985-6468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3059 | Minnesota |
Profile Details
| NPI number | 1174546923 |
|---|---|
| LBN Legal business name | Sollom, Joel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Sep 13th, 2023 - about last year |
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 | 1174546923 | NPPES |
| Minnesota | MEDICAID | 669152000 |
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