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Contact Information

SANDRA K DOLPHIN, OD
213 S ADAMS ST
SAINT CROIX FALLS, WI54024
 Phone: 715-483-3259
 Fax: 715-483-5136
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SANDRA K DOLPHIN · (Female)

NPI # 1205863693
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/28/2006
Last updated 10/03/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2589-035
  • WI Medicaid 38623500
  • Other 5173080001 DMEPOS
  • MN Other 538722180 MN MA
  • WI Other 270L2DO BCBS MN
  • WI Other HP26431 HEALTH PARTNERS
  • WI Other 22-02486 MEDICA/SELECT CARE
  • WI Other 511297 NVA
  • WI Other 97969-1007552 PREFERRED ONE
  • WI Other P00175525 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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