James, David Gary
James, David Gary is an individual health care provider with primary practice located at 185 W Netherwood Rd , Oregon WI 53575-1100. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. James, David Gary can be contacted via phone (608) 835-3579.Contact Information
Primary practice address
185 W Netherwood Rd
Oregon WI 53575-1100
Phone: (608) 835-3579
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1673-035 | Wisconsin |
Profile Details
| NPI number | 1780667204 |
|---|---|
| LBN Legal business name | James, David Gary |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Jan 4th, 2011 - about 14 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 | 1780667204 | NPPES |
| Wisconsin | MEDICAID | 38508900 |
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