Pederson, David

Pederson, David is an sole proprietor health care provider with primary practice located at 4551 S Washington St Ste H , Grand Forks ND 58201-3495. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Pederson, David can be contacted via phone (218) 791-6424.

Contact Information

Primary practice address
4551 S Washington St Ste H Grand Forks ND 58201-3495
Phone: (218) 791-6424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1437451440
LBN Legal business name Pederson, David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2010
Last updated Nov 23rd, 2010 - about 16 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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