Soderblom, Douglas
Soderblom, Douglas is an sole proprietor health care provider with primary practice located at 25815 Barton Rd Suite 104, Loma Linda CA 92354-3893. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Soderblom, Douglas can be contacted via phone (909) 478-3345.Contact Information
Primary practice address
25815 Barton Rd Suite 104
Loma Linda CA 92354-3893
Phone: (909) 478-3345
Fax: (909) 478-9337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10169T | California |
Profile Details
| NPI number | 1134190747 |
|---|---|
| LBN Legal business name | Soderblom, Douglas |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Oct 28th, 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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