Woldorff, Constance L

Woldorff, Constance L is an sole proprietor health care provider with primary practice located at 813 Broad St , Durham NC 27705-4137. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Woldorff, Constance L can be contacted via phone (919) 381-5365.

Contact Information

Primary practice address
813 Broad St Durham NC 27705-4137
Phone: (919) 381-5365
Fax: (919) 381-5366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1823 North Carolina

Profile Details

NPI number 1205819554
LBN Legal business name Woldorff, Constance L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2005
Last updated Mar 7th, 2023 - about 2 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 1205819554 NPPES
North Carolina Other NC5878B122 MEDICARE PTAN
North Carolina MEDICAID 89093K1 MEDICARE PTAN

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