Tjelle, Eric M

Tjelle, Eric M is an individual health care provider with primary practice located at 1720 Hwy 59 Se Suite 1 Box 505, Thief River Falls MN 56701. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tjelle, Eric M can be contacted via phone (218) 681-3300.

Contact Information

Primary practice address
1720 Hwy 59 Se Suite 1 Box 505 Thief River Falls MN 56701
Phone: (218) 681-3300
Fax: (218) 681-6733
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2833 Minnesota

Profile Details

NPI number 1093732612
LBN Legal business name Tjelle, Eric M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 20th, 2011 - about 15 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 1093732612 NPPES
Other 644201041982 PREF
Other 289M4TJ PREF
Other 2282569 PREF
MEDICAID 928102900 PREF

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