Verkuilen, James Conrad

Verkuilen, James Conrad is an individual health care provider with primary practice located at 9055 Springbrook Dr Nw , Coon Rapids MN 55433-5841. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Verkuilen, James Conrad can be contacted via phone (763) 780-9155.

Contact Information

Primary practice address
9055 Springbrook Dr Nw Coon Rapids MN 55433-5841
Phone: (763) 780-9155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2511 Minnesota

Profile Details

NPI number 1235191784
LBN Legal business name Verkuilen, James Conrad
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Nov 10th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235191784 NPPES
Minnesota MEDICAID 273956900

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