Vandeberg, Becky Lee Mcilonie

Vandeberg, Becky Lee Mcilonie is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Vandeberg, Becky Lee Mcilonie can be contacted via phone (701) 364-3300.

Contact Information

Primary practice address
1702 University Dr S Fargo ND 58103-4940
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 652 North Dakota
Eye and Vision Services Providers / Optometrist 152W00000X 3090 Minnesota

Profile Details

NPI number 1245430370
LBN Legal business name Vandeberg, Becky Lee Mcilonie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Apr 24th, 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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