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
Phone: (269) 428-3300
Fax: (269) 428-5005
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306841630 | NPPES |
Michigan | MEDICAID | 1956841 | |
Michigan | MEDICAID | 944911629 |
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