Dalen, Darwin

Dalen, Darwin is an individual health care provider with primary practice located at 201 Nw 4Th St , Grand Rapids MN 55744-2753. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dalen, Darwin can be contacted via phone (218) 326-9619.

Contact Information

Primary practice address
201 Nw 4Th St Grand Rapids MN 55744-2753
Phone: (218) 326-9619
Fax: (218) 326-9619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2529 Minnesota

Profile Details

NPI number 1417954553
LBN Legal business name Dalen, Darwin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Apr 3rd, 2008 - about 18 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 1417954553 NPPES
Minnesota Other 5C957DA BLUE CROSS BLUE SHIELD

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