Woeltge, Donald George

Woeltge, Donald George is an individual health care provider with primary practice located at 2118 N Maple Ave , Rapid City SD 57701-7813. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Woeltge, Donald George can be contacted via phone (605) 348-4778.

Contact Information

Primary practice address
2118 N Maple Ave Rapid City SD 57701-7813
Phone: (605) 348-4778
Fax: (605) 343-7275
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1841324027
LBN Legal business name Woeltge, Donald George
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 8th, 2007 - 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 1841324027 NPPES
South Dakota MEDICAID 9281250

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