Gotschalk, Robert Blunt

Gotschalk, Robert Blunt is an individual health care provider with primary practice located at 1225 Carthage St , Sanford NC 27330-8984. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gotschalk, Robert Blunt can be contacted via phone (919) 774-3556.

Contact Information

Primary practice address
1225 Carthage St Sanford NC 27330-8984
Phone: (919) 774-3556
Fax: (919) 774-7356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1190 North Carolina

Profile Details

NPI number 1811945827
LBN Legal business name Gotschalk, Robert Blunt
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 22nd, 2008 - 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 1811945827 NPPES
North Carolina MEDICAID 8909322
North Carolina Other 09322
North Carolina Other 410014666

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