Chacon, Alicia Marie
Chacon, Alicia Marie is an individual health care provider with primary practice located at 925 N 87Th St , Milwaukee WI 53226-4812. She recently has only one registered license in Eye and Vision Services Providers / Pediatrics, which is considered as her primary health care specialty.Contact Information
Primary practice address
925 N 87Th St
Milwaukee WI 53226-4812
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 3483-35 | Wisconsin |
Profile Details
| NPI number | 1831541887 |
|---|---|
| LBN Legal business name | Chacon, Alicia Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2016 |
| Last updated | Mar 11th, 2024 - about 9 months 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 | 1831541887 | NPPES |
| Wisconsin | MEDICAID | 1831541887 | |
| Wisconsin | MEDICAID | 1831541887 |
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