Whelan, Maureen
Whelan, Maureen is an sole proprietor health care provider with primary practice located at 1900 Division St W , Bemidji MN 56601-6396. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Whelan, Maureen can be contacted via phone (218) 759-1430.Contact Information
Primary practice address
1900 Division St W
Bemidji MN 56601-6396
Phone: (218) 759-1430
Fax: (218) 444-9086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2154 | Wisconsin |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2110 | Minnesota |
Profile Details
| NPI number | 1437216439 |
|---|---|
| LBN Legal business name | Whelan, Maureen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Dec 15th, 2014 - about 10 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 | 1437216439 | NPPES |
| Minnesota | MEDICAID | 548523100 | |
| Minnesota | Other | DD9612 | |
| Minnesota | Other | 2200103 | |
| Minnesota | Other | 4C014WH | |
| Minnesota | Other | 4C957WH |
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