Nielsen, Charlotte Florence
Nielsen, Charlotte Florence is an individual health care provider with primary practice located at 1120 E Washington St , Grayslake IL 60030-7960. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nielsen, Charlotte Florence can be contacted via phone (847) 223-2000.Contact Information
Primary practice address
1120 E Washington St
Grayslake IL 60030-7960
Phone: (847) 223-2000
Fax: (847) 223-9400
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 046008590 | Illinois |
Profile Details
NPI number | 1962492975 |
---|---|
LBN Legal business name | Nielsen, Charlotte Florence |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 21st, 2005 |
Last updated | Jun 13th, 2008 - 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 | 1962492975 | NPPES |
Illinois | MEDICAID | 046008590 | |
Illinois | Other | 1033303169 |
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