Vogelpohl, Derek Paul
Vogelpohl, Derek Paul is an individual health care provider with primary practice located at 1001 Avenue H Ste 2 , Fort Madison IA 52627-4559. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vogelpohl, Derek Paul can be contacted via phone (319) 316-6016.Contact Information
Primary practice address
1001 Avenue H Ste 2
Fort Madison IA 52627-4559
Phone: (319) 316-6016
Fax: (319) 669-8335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046010660 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002587 | Iowa |
Profile Details
| NPI number | 1073951612 |
|---|---|
| LBN Legal business name | Vogelpohl, Derek Paul |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2013 |
| Last updated | Jan 13th, 2021 - about 5 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 | 1073951612 | NPPES |
| Iowa | MEDICAID | 1073951612 |
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