Perez, Michael

Perez, Michael is an individual health care provider with primary practice located at 206 Pleasant Ave S , Park Rapids MN 56470-1417. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Perez, Michael can be contacted via phone (218) 732-3389.

Contact Information

Primary practice address
206 Pleasant Ave S Park Rapids MN 56470-1417
Phone: (218) 732-3389
Fax: (218) 732-5994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1717 Minnesota

Profile Details

NPI number 1164482246
LBN Legal business name Perez, Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 16th, 2008 - about 18 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 1164482246 NPPES
Minnesota MEDICAID 704523900

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