Prosser, David J

Prosser, David J is an individual health care provider with primary practice located at 910 Harmon St , Sturgis SD 57785-2556. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Prosser, David J can be contacted via phone (605) 347-2666.

Contact Information

Primary practice address
910 Harmon St Sturgis SD 57785-2556
Fax: (605) 347-5823
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 472 South Dakota

Profile Details

NPI number 1386623395
LBN Legal business name Prosser, David J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated May 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386623395 NPPES
South Dakota MEDICAID 9202612

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