Stotesbery, Carie Lynn
Stotesbery, Carie Lynn is an individual health care provider with primary practice located at 1610 Broadway St , Alexandria MN 56308-2708. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Stotesbery, Carie Lynn can be contacted via phone (320) 763-4321.Contact Information
Primary practice address
1610 Broadway St
Alexandria MN 56308-2708
Phone: (320) 763-4321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2707 | Minnesota |
Profile Details
| NPI number | 1285715904 |
|---|---|
| LBN Legal business name | Stotesbery, Carie Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Feb 17th, 2013 - about 13 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 | 1285715904 | NPPES |
| Minnesota | MEDICAID | 914218500 |
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