Powell, Reed Madsen
Powell, Reed Madsen is an sole proprietor health care provider with primary practice located at 21660 Bear Valley Rd F-2, Apple Valley CA 92308-7226. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Powell, Reed Madsen can be contacted via phone (760) 961-0344.Contact Information
Primary practice address
21660 Bear Valley Rd F-2
Apple Valley CA 92308-7226
Phone: (760) 961-0344
Fax: (760) 961-0363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7678T | California |
Profile Details
| NPI number | 1639245988 |
|---|---|
| LBN Legal business name | Powell, Reed Madsen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 9th, 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 | 1639245988 | NPPES |
| California | MEDICAID | SD0076780 |
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