Foss, Dylan J
Foss, Dylan J is an individual health care provider with primary practice located at 1855 S Koeller St , Oshkosh WI 54902-6186. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Foss, Dylan J can be contacted via phone (920) 223-7330.Contact Information
Primary practice address
1855 S Koeller St
Oshkosh WI 54902-6186
Phone: (920) 223-7330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2712 | Wisconsin |
Profile Details
| NPI number | 1225023542 |
|---|---|
| LBN Legal business name | Foss, Dylan J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Aug 30th, 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 | 1225023542 | NPPES |
| Wisconsin | MEDICAID | 38602900 |
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