Moses, Giovanna Marie
Moses, Giovanna Marie is an individual health care provider with primary practice located at 1221 Phoenix St , Delavan WI 53115-2340. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Moses, Giovanna Marie can be contacted via phone (262) 728-2667.Contact Information
Primary practice address
1221 Phoenix St
Delavan WI 53115-2340
Phone: (262) 728-2667
Fax: (262) 728-3539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2918-035 | Wisconsin |
Profile Details
| NPI number | 1942259171 |
|---|---|
| LBN Legal business name | Moses, Giovanna Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Feb 26th, 2015 - about 10 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 | 1942259171 | NPPES |
| Wisconsin | MEDICAID | 38629100 |
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