Wattenhofer, Dawn

Wattenhofer, Dawn is an individual health care provider with primary practice located at 318 Mount Rushmore Rd Ste A , Rapid City SD 57701-2762. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wattenhofer, Dawn can be contacted via phone (605) 399-3937.

Contact Information

Primary practice address
318 Mount Rushmore Rd Ste A Rapid City SD 57701-2762
Phone: (605) 399-3937
Fax: (605) 399-5910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0553 South Dakota

Profile Details

NPI number 1154390573
LBN Legal business name Wattenhofer, Dawn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jan 12th, 2015 - about 9 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 1154390573 NPPES
South Dakota Other 0006985 BCBS OF SD
South Dakota MEDICAID 9200982 BCBS OF SD

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