Tolsma, Duane Allen

Tolsma, Duane Allen is an individual health care provider with primary practice located at 2848 Niles Rd , Saint Joseph MI 49085-3352. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tolsma, Duane Allen can be contacted via phone (269) 428-3300.

Contact Information

Primary practice address
2848 Niles Rd Saint Joseph MI 49085-3352
Fax: (269) 428-5005
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003188 Michigan

Profile Details

NPI number 1306841630
LBN Legal business name Tolsma, Duane Allen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Apr 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306841630 NPPES
Michigan MEDICAID 1956841
Michigan MEDICAID 944911629

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