Kivlin, James B

Kivlin, James B is an individual health care provider with primary practice located at 2303 Schneider Ave Se Suite#100, Menomonie WI 54751-7005. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kivlin, James B can be contacted via phone (715) 235-3838.

Contact Information

Primary practice address
2303 Schneider Ave Se Suite#100 Menomonie WI 54751-7005
Phone: (715) 235-3838
Fax: (715) 235-3846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1539-035 Wisconsin

Profile Details

NPI number 1881620854
LBN Legal business name Kivlin, James B
Credentials OD, TPA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Feb 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881620854 NPPES
Wisconsin Other 0523040001 DMERC
Wisconsin MEDICAID 38564800 DMERC

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