Dockter, Craig

Dockter, Craig is an individual health care provider with primary practice located at 1315 10Th Ave , Mobridge SD 57601. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dockter, Craig can be contacted via phone (605) 845-2932.

Contact Information

Primary practice address
1315 10Th Ave Mobridge SD 57601
Phone: (605) 845-2932
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 492 South Dakota

Profile Details

NPI number 1629090162
LBN Legal business name Dockter, Craig
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Nov 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629090162 NPPES
South Dakota MEDICAID 9202563

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