Traub, Jodi
Traub, Jodi is an individual health care provider with primary practice located at 3401 S Kelley Ave , Sioux Falls SD 57106-6300. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Traub, Jodi can be contacted via phone (605) 361-1680.Contact Information
Primary practice address
3401 S Kelley Ave
Sioux Falls SD 57106-6300
Phone: (605) 361-1680
Fax: (605) 361-1590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T-500 | South Dakota |
Profile Details
| NPI number | 1629037189 |
|---|---|
| LBN Legal business name | Traub, Jodi |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1629037189 | NPPES |
| South Dakota | MEDICAID | 9202723 |
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