Atherton, Justin Dean
Atherton, Justin Dean is an individual health care provider with primary practice located at 601 W Adams St , Black River Falls WI 54615-9010. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Atherton, Justin Dean can be contacted via phone (715) 274-6451.Contact Information
Primary practice address
601 W Adams St
Black River Falls WI 54615-9010
Phone: (715) 274-6451
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2674 | Arkansas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3461 | Wisconsin |
Profile Details
| NPI number | 1316293525 |
|---|---|
| LBN Legal business name | Atherton, Justin Dean |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2012 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1316293525 | NPPES |
| Arkansas | Other | 2674 | LISCENCE # |
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