Svennungsen, Rock Edward
Svennungsen, Rock Edward is an sole proprietor health care provider with primary practice located at 925 Oilfield Ave , Shelby MT 59474-2703. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Svennungsen, Rock Edward can be contacted via phone (406) 434-2763.Contact Information
Primary practice address
925 Oilfield Ave
Shelby MT 59474-2703
Phone: (406) 434-2763
Fax: (406) 434-2904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 446 | Montana |
Profile Details
| NPI number | 1487607404 |
|---|---|
| LBN Legal business name | Svennungsen, Rock Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 28th, 2009 - about 17 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 | 1487607404 | NPPES |
| Other | 410035739 | RAILROAD MEDICARE | |
| MEDICAID | 0480324 | RAILROAD MEDICARE |
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