Krall, Joe
Krall, Joe is an individual health care provider with primary practice located at 1415 N Sanborn Blvd , Mitchell SD 57301-1015. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Krall, Joe can be contacted via phone (605) 996-2020.Contact Information
Primary practice address
1415 N Sanborn Blvd
Mitchell SD 57301-1015
Phone: (605) 996-2020
Fax: (605) 990-3937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 494 | South Dakota |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 494 | South Dakota |
Profile Details
| NPI number | 1811043102 |
|---|---|
| LBN Legal business name | Krall, Joe |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811043102 | NPPES |
| South Dakota | MEDICAID | 9202632 |
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