Cagnolatti, Robert Dale
Cagnolatti, Robert Dale is an sole proprietor health care provider with primary practice located at 1812 Roselawn Ave , Monroe LA 71201-5434. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cagnolatti, Robert Dale can be contacted via phone (318) 387-9626.Contact Information
Primary practice address
1812 Roselawn Ave
Monroe LA 71201-5434
Phone: (318) 387-9626
Fax: (318) 325-9425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 883-328T | Louisiana |
Profile Details
| NPI number | 1174549158 |
|---|---|
| LBN Legal business name | Cagnolatti, Robert Dale |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Aug 25th, 2010 - about 16 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 | 1174549158 | NPPES |
| Louisiana | MEDICAID | 1351865 |
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