Amaral, Rebecca D
Amaral, Rebecca D is an individual health care provider with primary practice located at 1923 N Shawano St Suite B, New London WI 54961-7510. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Amaral, Rebecca D can be contacted via phone (920) 982-4561.Contact Information
Primary practice address
1923 N Shawano St Suite B
New London WI 54961-7510
Phone: (920) 982-4561
Fax: (920) 982-9811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2752 | Wisconsin |
Profile Details
| NPI number | 1114013943 |
|---|---|
| LBN Legal business name | Amaral, Rebecca D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Nov 19th, 2014 - about 11 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 | 1114013943 | NPPES |
| Wisconsin | MEDICAID | 38606100 |
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