Emer, Peter L
Emer, Peter L is an sole proprietor health care provider with primary practice located at 3612 Roosevelt Rd , Kenosha WI 53142-7230. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Emer, Peter L can be contacted via phone (262) 652-1689.Contact Information
Primary practice address
3612 Roosevelt Rd
Kenosha WI 53142-7230
Phone: (262) 652-1689
Fax: (262) 652-4345
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1725-035 | Wisconsin |
Profile Details
NPI number | 1194710988 |
---|---|
LBN Legal business name | Emer, Peter L |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 17th, 2005 |
Last updated | Jun 4th, 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 | 1194710988 | NPPES |
Wisconsin | MEDICAID | 38521900 |
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