Delwiche, Dean Allen
Delwiche, Dean Allen is an sole proprietor health care provider with primary practice located at 21 Park Pl , Appleton WI 54914-8872. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Delwiche, Dean Allen can be contacted via phone (920) 739-4361.Contact Information
Primary practice address
21 Park Pl
Appleton WI 54914-8872
Phone: (920) 739-4361
Fax: (920) 739-6368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2422 | Wisconsin |
Profile Details
| NPI number | 1669417135 |
|---|---|
| LBN Legal business name | Delwiche, Dean Allen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Mar 26th, 2013 - about 11 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 | 1669417135 | NPPES |
| Wisconsin | MEDICAID | 38585500 |
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