Gronquist, Tem

Gronquist, Tem is an individual health care provider with primary practice located at 1805 State St Suite B, Santa Barbara CA 93101-8415. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gronquist, Tem can be contacted via phone (805) 569-1504.

Contact Information

Primary practice address
1805 State St Suite B Santa Barbara CA 93101-8415
Phone: (805) 569-1504
Fax: (805) 569-8707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10850T California

Profile Details

NPI number 1316918915
LBN Legal business name Gronquist, Tem
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Sep 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316918915 NPPES
California Other 10865T CA STATE LICENSE NUMBER

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