Dolan, Douglas Craig
Dolan, Douglas Craig is an individual health care provider with primary practice located at 20 Village Loop Rd , Kalispell MT 59901-2793. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dolan, Douglas Craig can be contacted via phone (406) 756-8420.Contact Information
Primary practice address
20 Village Loop Rd
Kalispell MT 59901-2793
Phone: (406) 756-8420
Fax: (406) 756-0119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | MT 518T | Montana |
Profile Details
| NPI number | 1225098130 |
|---|---|
| LBN Legal business name | Dolan, Douglas Craig |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1225098130 | NPPES |
| Montana | MEDICAID | 055-1038 | |
| Montana | MEDICAID | 048-3157 |
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