Anderson, Jill A
Anderson, Jill A is an sole proprietor health care provider with primary practice located at 1000 N Westhill Blvd Optical, Appleton WI 54914-5792. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Anderson, Jill A can be contacted via phone (920) 733-7804.Contact Information
Primary practice address
1000 N Westhill Blvd Optical
Appleton WI 54914-5792
Phone: (920) 733-7804
Fax: (920) 733-7940
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2651-035 | Wisconsin |
Profile Details
NPI number | 1366422735 |
---|---|
LBN Legal business name | Anderson, Jill A |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 20th, 2006 |
Last updated | Jun 8th, 2010 - about 14 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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