Dufour, Jacob
Dufour, Jacob is an sole proprietor health care provider with primary practice located at 101 Dawn Dr , Centerton AR 72719-9314. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Vision Therapy is his primary health care specialty. Dufour, Jacob can be contacted via phone (479) 795-1411.Contact Information
Primary practice address
101 Dawn Dr
Centerton AR 72719-9314
Phone: (479) 795-1411
Fax: (479) 795-1412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | AR2754 | Arkansas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2754 | Arkansas |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2754 | Arkansas |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | OD 60559129 | Washington |
Profile Details
| NPI number | 1730556580 |
|---|---|
| LBN Legal business name | Dufour, Jacob |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2015 |
| Last updated | May 13th, 2021 - about 5 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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