Totten, Douglas Leon
Totten, Douglas Leon is an individual health care provider with primary practice located at 951 Seminole Rd , Norton Shores MI 49441-4341. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Totten, Douglas Leon can be contacted via phone (231) 780-4700.Contact Information
Primary practice address
951 Seminole Rd
Norton Shores MI 49441-4341
Phone: (231) 780-4700
Fax: (231) 780-4722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003038 | Michigan |
Profile Details
| NPI number | 1669563565 |
|---|---|
| LBN Legal business name | Totten, Douglas Leon |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1669563565 | NPPES |
| Michigan | MEDICAID | 4454960 | |
| Michigan | Other | 4298240001 |
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