Wedeking Calarco, Kassandra M
Wedeking Calarco, Kassandra M is an individual health care provider with primary practice located at 7789 147Th St W , Apple Valley MN 55124. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wedeking Calarco, Kassandra M can be contacted via phone (952) 432-0680.Contact Information
Primary practice address
7789 147Th St W
Apple Valley MN 55124
Phone: (952) 432-0680
Fax: (952) 432-8823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3550 | Minnesota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2889 | Connecticut |
Profile Details
| NPI number | 1245671932 |
|---|---|
| LBN Legal business name | Wedeking Calarco, Kassandra M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2013 |
| Last updated | Oct 10th, 2018 - about 6 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 | 1245671932 | NPPES |
| Connecticut | MEDICAID | 008051554 |
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