Ayers, Jennifer L
Ayers, Jennifer L is an individual health care provider with primary practice located at 5027 Green Bay Rd Ste 110 , Kenosha WI 53144-1771. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ayers, Jennifer L can be contacted via phone (262) 925-9251.Contact Information
Primary practice address
5027 Green Bay Rd Ste 110
Kenosha WI 53144-1771
Phone: (262) 925-9251
Fax: (262) 925-9252
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 3059-035 | Wisconsin |
Profile Details
NPI number | 1932285400 |
---|---|
LBN Legal business name | Ayers, Jennifer L |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2006 |
Last updated | Oct 6th, 2023 - about 2 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 | 1932285400 | NPPES |
Wisconsin | Other | 3059-035 | WI OPTOMETRY LICENSE |
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