Kapphahn, Mark A
Kapphahn, Mark A is an individual health care provider with primary practice located at 401 Phalen Blvd , Saint Paul MN 55130-5302. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kapphahn, Mark A can be contacted via phone (651) 254-7500.Contact Information
Primary practice address
401 Phalen Blvd
Saint Paul MN 55130-5302
Phone: (651) 254-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2866 | Minnesota |
Profile Details
| NPI number | 1912979006 |
|---|---|
| LBN Legal business name | Kapphahn, Mark A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Oct 17th, 2022 - about 4 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 | 1912979006 | NPPES |
| Minnesota | MEDICAID | 144842100 |
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