Boettcher, Amy Ellen
Boettcher, Amy Ellen is an individual health care provider with primary practice located at 2525 County Highway I , Chippewa Falls WI 54729-1422. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Boettcher, Amy Ellen can be contacted via phone (715) 723-6520.Contact Information
Primary practice address
2525 County Highway I
Chippewa Falls WI 54729-1422
Phone: (715) 723-6520
Fax: (715) 723-1092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1790959815 |
|---|---|
| LBN Legal business name | Boettcher, Amy Ellen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2008 |
| Last updated | Apr 18th, 2008 - about 16 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 | 1790959815 | NPPES |
| Wisconsin | MEDICAID | 38459500 |
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