Dettlaff, Peter P.

Dettlaff, Peter P. is an sole proprietor health care provider with primary practice located at 3900 S. Broadway St. , Minot ND 58701-7534. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dettlaff, Peter P. can be contacted via phone (701) 839-8726.

Contact Information

Primary practice address
3900 S. Broadway St. Minot ND 58701-7534
Phone: (701) 839-8726
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 399 North Dakota

Profile Details

NPI number 1619049277
LBN Legal business name Dettlaff, Peter P.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - 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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