Gironella, Bryan Clive
Gironella, Bryan Clive is an individual health care provider with primary practice located at 2200 Lincoln St Shopko Eye Care Center, Rhinelander WI 54501-3631. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gironella, Bryan Clive can be contacted via phone (715) 362-4800.Contact Information
Primary practice address
2200 Lincoln St Shopko Eye Care Center
Rhinelander WI 54501-3631
Phone: (715) 362-4800
Fax: (715) 362-4919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2830-035 | Wisconsin |
Profile Details
| NPI number | 1558311217 |
|---|---|
| LBN Legal business name | Gironella, Bryan Clive |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1558311217 | NPPES |
| Wisconsin | MEDICAID | 38617100 |
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