Widerspan, Robert Benjamin
Widerspan, Robert Benjamin is an sole proprietor health care provider with primary practice located at 4015 Capitola Rd , Santa Cruz CA 95062. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Widerspan, Robert Benjamin can be contacted via phone (831) 475-8639.Contact Information
Primary practice address
4015 Capitola Rd
Santa Cruz CA 95062
Phone: (831) 475-8639
Fax: (831) 464-1075
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 8047T | California |
Profile Details
NPI number | 1295944452 |
---|---|
LBN Legal business name | Widerspan, Robert Benjamin |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 22nd, 2007 |
Last updated | Apr 24th, 2012 - about 12 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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