Bista, Pranaya
Bista, Pranaya is an individual health care provider with primary practice located at 10996 N Port Washington Rd , Mequon WI 53092-5031. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bista, Pranaya can be contacted via phone (262) 240-9870.Contact Information
Primary practice address
10996 N Port Washington Rd
Mequon WI 53092-5031
Phone: (262) 240-9870
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 3694-35 | Wisconsin |
Profile Details
NPI number | 1124792411 |
---|---|
LBN Legal business name | Bista, Pranaya |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2021 |
Last updated | Aug 2nd, 2021 - 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.
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