Landwehr, Sandra Marie
Landwehr, Sandra Marie is an sole proprietor health care provider with primary practice located at Po Box 12645 , Green Bay WI 54307-2645. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Landwehr, Sandra Marie can be contacted via phone (920) 494-2121.Contact Information
Primary practice address
Po Box 12645
Green Bay WI 54307-2645
Phone: (920) 494-2121
Fax: (920) 221-0117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2188 | Wisconsin |
Profile Details
| NPI number | 1770544603 |
|---|---|
| LBN Legal business name | Landwehr, Sandra Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Jun 10th, 2024 - about 2 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 | 1770544603 | NPPES |
| Wisconsin | MEDICAID | 1770544603 | |
| Wisconsin | MEDICAID | 38531700 |
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