Dolan, Judith G
Dolan, Judith G is an individual health care provider with primary practice located at 1100 Mockingbird Ln , Sulphur Springs TX 75482-4853. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Dolan, Judith G can be contacted via phone (903) 439-2020.Contact Information
Primary practice address
1100 Mockingbird Ln
Sulphur Springs TX 75482-4853
Phone: (903) 439-2020
Fax: (903) 439-4661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3463TG | Texas |
Profile Details
| NPI number | 1023069432 |
|---|---|
| LBN Legal business name | Dolan, Judith G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023069432 | NPPES |
| Texas | MEDICAID | 154623601 | |
| Texas | Other | 80629Q | |
| Texas | Other | 410046771 |
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