Dahlberg, Heidi
Dahlberg, Heidi is an sole proprietor health care provider with primary practice located at 100 Se 29Th St , Grand Rapids MN 55744-4043. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Dahlberg, Heidi can be contacted via phone (218) 326-1101.Contact Information
Primary practice address
100 Se 29Th St
Grand Rapids MN 55744-4043
Phone: (218) 326-1101
Fax: (218) 326-1106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3129 | Minnesota |
Profile Details
| NPI number | 1124289160 |
|---|---|
| LBN Legal business name | Dahlberg, Heidi |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2008 |
| Last updated | Jun 14th, 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.
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