Wilkinson, Dallas Charles

Wilkinson, Dallas Charles is an sole proprietor health care provider with primary practice located at 200 S Chicago St , Hot Springs SD 57747-2322. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilkinson, Dallas Charles can be contacted via phone (605) 745-3175.

Contact Information

Primary practice address
200 S Chicago St Hot Springs SD 57747-2322
Phone: (605) 745-3175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 575 South Dakota

Profile Details

NPI number 1245344001
LBN Legal business name Wilkinson, Dallas Charles
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Feb 27th, 2020 - about 4 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 1245344001 NPPES
South Dakota Other 575 DAKOTACARE
South Dakota Other 0007616 DAKOTACARE
South Dakota MEDICAID 9200700 DAKOTACARE

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