Picard, Charles William

Picard, Charles William is an individual health care provider with primary practice located at 2025 Paul Bunyan Dr Nw , Bemidji MN 56601-5606. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Picard, Charles William can be contacted via phone (218) 755-6139.

Contact Information

Primary practice address
2025 Paul Bunyan Dr Nw Bemidji MN 56601-5606
Phone: (218) 755-6139
Fax: (218) 755-6141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1530 Minnesota

Profile Details

NPI number 1962507731
LBN Legal business name Picard, Charles William
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962507731 NPPES
Minnesota Other 205J0WA BLUE CROSS BLUE SCHIELD

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