Becker, William R.

Becker, William R. is an individual health care provider with primary practice located at 2411 3Rd St S , Wisconsin Rapids WI 54494-5853. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Becker, William R. can be contacted via phone (715) 424-3937.

Contact Information

Primary practice address
2411 3Rd St S Wisconsin Rapids WI 54494-5853
Fax: (715) 423-3330
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1785-035 Wisconsin

Profile Details

NPI number 1578620456
LBN Legal business name Becker, William R.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578620456 NPPES
Wisconsin MEDICAID 38518900

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