Haivala, Kathryn Opbroek
Haivala, Kathryn Opbroek is an individual health care provider with primary practice located at 1710 North Ave , Spearfish SD 57783. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Haivala, Kathryn Opbroek can be contacted via phone (605) 642-8480.Contact Information
Primary practice address
1710 North Ave
Spearfish SD 57783
Phone: (605) 642-8480
Fax: (605) 642-8185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 502 | South Dakota |
Profile Details
| NPI number | 1477564771 |
|---|---|
| LBN Legal business name | Haivala, Kathryn Opbroek |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Sep 17th, 2012 - about 14 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 | 1477564771 | NPPES |
| Wyoming | Other | 119816500 | EQUALITY CARE |
| Wyoming | MEDICAID | 9202840 | EQUALITY CARE |
| Wyoming | Other | 4995272 | EQUALITY CARE |
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