Soderberg, Daniel Thomas

Soderberg, Daniel Thomas is an individual health care provider with primary practice located at 1164 Lexington Ave , Mansfield OH 44907-2254. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Soderberg, Daniel Thomas can be contacted via phone (419) 756-0500.

Contact Information

Primary practice address
1164 Lexington Ave Mansfield OH 44907-2254
Phone: (419) 756-0500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG002472 Pennsylvania
Eye and Vision Services Providers / Optometrist 152W00000X OPT.006093 Ohio

Profile Details

NPI number 1245527654
LBN Legal business name Soderberg, Daniel Thomas
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2011
Last updated Feb 21st, 2020 - about 6 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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