RICHARD J. DANNENBERG; NPI #1205951415

Contact Information

RICHARD J. DANNENBERG

2023 S BROADWAY ST
NEW ULM, MN 56073-3954

Phone: 507-233-3500
Fax: 507-354-7562
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for RICHARD J. DANNENBERG

NPI # 1205951415

LBN Legal business name RICHARD J. DANNENBERG

Authorized official RICHARD DANNENBERG - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/20/2007

Last updated 09/16/2008 - About 18 years ago

Identifiers

MN	License #	27830
MN	Medicaid	475067500
MN	Other	5C212DA	BCBS BLUE PLUS
MN	Other	43034DA	BCBSMN
MN	Other	110565	EYEMED
MN	Other	19379	HEALTH PARTNERS
MN	Other	0808759	MEDICA
MN	Other	826041022794	PREFERRED ONE
MN	Other	114683	U-CARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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RICHARD J. DANNENBERG

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for RICHARD J. DANNENBERG

Reviews for RICHARD J. DANNENBERG