Varland, David A.
Varland, David A. is an sole proprietor health care provider with primary practice located at 6068 Palo Verde Dr , Rockford IL 61114-8116. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Varland, David A. can be contacted via phone (815) 877-3264.Contact Information
Primary practice address
6068 Palo Verde Dr
Rockford IL 61114-8116
Phone: (815) 877-3264
Fax: (815) 877-3294
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019-017691 | Illinois |
Profile Details
| NPI number | 1225098304 |
|---|---|
| LBN Legal business name | Varland, David A. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Dec 20th, 2011 - 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 | 1225098304 | NPPES |
| Illinois | Other | 0000012079 | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
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