Dennis, Wade Matthew
Dennis, Wade Matthew is an individual health care provider with primary practice located at 1740 C N. Spring St. , Beaver Dam WI 53916. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dennis, Wade Matthew can be contacted via phone (920) 885-3318.Contact Information
Primary practice address
1740 C N. Spring St.
Beaver Dam WI 53916
Phone: (920) 885-3318
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2290-035 | Wisconsin |
Profile Details
| NPI number | 1568534022 |
|---|---|
| LBN Legal business name | Dennis, Wade Matthew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| 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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