Wolfson, Samuel F

Wolfson, Samuel F is an sole proprietor health care provider with primary practice located at 9905 45Th Avenue North Suite 110, Plymouth MN 55442-3315. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wolfson, Samuel F can be contacted via phone (763) 595-8414.

Contact Information

Primary practice address
9905 45Th Avenue North Suite 110 Plymouth MN 55442-3315
Phone: (763) 595-8414
Fax: (763) 595-8438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1706 Minnesota

Profile Details

NPI number 1477616449
LBN Legal business name Wolfson, Samuel F
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Dec 22nd, 2016 - about 9 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 1477616449 NPPES
Minnesota Other 0909390001 DMERC
Minnesota Other 102877 DMERC
Minnesota Other 2499537 DMERC
Minnesota Other 410038901 DMERC
Minnesota Other 23979 DMERC
Minnesota Other 2200080 DMERC
Minnesota Other 0909390001 DMERC
Minnesota Other 19467W0 DMERC
Minnesota Other 2202766 DMERC
Minnesota MEDICAID 315023200 DMERC

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