Weichler, Pauline Susan

Weichler, Pauline Susan is an sole proprietor health care provider with primary practice located at 685 Mountain View Rd , Rapid City SD 57702-2518. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Weichler, Pauline Susan can be contacted via phone (605) 718-7550.

Contact Information

Primary practice address
685 Mountain View Rd Rapid City SD 57702-2518
Phone: (605) 718-7550
Fax: (605) 718-7551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X SD484 South Dakota

Profile Details

NPI number 1699768010
LBN Legal business name Weichler, Pauline Susan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Jun 20th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699768010 NPPES
South Dakota Other 7992560 BCBS
South Dakota Other 90000106357702A002 BCBS
South Dakota MEDICAID 9202623 BCBS
South Dakota Other 0040327 BCBS
South Dakota Other 484 BCBS
South Dakota MEDICAID 9202625 BCBS

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