Nolan, Dana Marie

Nolan, Dana Marie is an sole proprietor health care provider with primary practice located at 3588 Saint Johns Ave , Jacksonville FL 32205-8446. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nolan, Dana Marie can be contacted via phone (904) 388-7767.

Contact Information

Primary practice address
3588 Saint Johns Ave Jacksonville FL 32205-8446
Phone: (904) 388-7767
Fax: (904) 388-0067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC003292 Florida

Profile Details

NPI number 1942296983
LBN Legal business name Nolan, Dana Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2005
Last updated Sep 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942296983 NPPES
Other 2203753 UNITED HEALTHCARE
MEDICAID 620382500 UNITED HEALTHCARE
Other 7524090 UNITED HEALTHCARE
Other 20856 UNITED HEALTHCARE

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