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Contact Information

BOWEN M MOLLMAN, OD
3001 BROADWAY AVE
YANKTON, SD57078-4890
 Phone: 605-665-4600
 Fax: 605-665-4813
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BOWEN M MOLLMAN · (Male)

NPI Number 1699791947
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/13/2006
Last updated 02/17/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • SD License # T615
  • SD Medicaid 10025365000
  • SD Medicaid 9203540
  • SD Other 551483 PROV. # FOR NVA
  • SD Other 29963 PROV. # FOR SPECTERA
  • SD Other 0100821 WELLMARK BC/BS
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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