Duffenbach, Patrick

Duffenbach, Patrick is an individual health care provider with primary practice located at 200 S Executive Dr Suite 101, Brookfield WI 53005-4216. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Duffenbach, Patrick can be contacted via phone (888) 964-6681.

Contact Information

Primary practice address
200 S Executive Dr Suite 101 Brookfield WI 53005-4216
Phone: (888) 964-6681
Fax: (888) 662-0859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1902073570
LBN Legal business name Duffenbach, Patrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2008
Last updated Aug 30th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902073570 NPPES
Wisconsin MEDICAID 38461300

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