Falk, Peter Richard

Falk, Peter Richard is an sole proprietor health care provider with primary practice located at 3341 8Th St S , Wisconsin Rapids WI 54494-6566. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Falk, Peter Richard can be contacted via phone (715) 423-5353.

Contact Information

Primary practice address
3341 8Th St S Wisconsin Rapids WI 54494-6566
Fax: (715) 423-6525
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3298-35 Wisconsin

Profile Details

NPI number 1619315421
LBN Legal business name Falk, Peter Richard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2013
Last updated Dec 20th, 2022 - about 3 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 1619315421 NPPES
Wisconsin MEDICAID 100075919

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