Geraets, James Joseph

Geraets, James Joseph is an sole proprietor health care provider with primary practice located at 2704 N Pontiac Dr , Janesville WI 53545-0343. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Geraets, James Joseph can be contacted via phone (608) 758-2020.

Contact Information

Primary practice address
2704 N Pontiac Dr Janesville WI 53545-0343
Phone: (608) 758-2020
Fax: (608) 755-7604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1803 Wisconsin

Profile Details

NPI number 1497735864
LBN Legal business name Geraets, James Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Jan 6th, 2012 - about 13 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 1497735864 NPPES
Wisconsin MEDICAID 38520300

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