Nottleson, Steven Lee

Nottleson, Steven Lee is an sole proprietor health care provider with primary practice located at 1545 Main St , Marinette WI 54143-1334. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Nottleson, Steven Lee can be contacted via phone (715) 735-3012.

Contact Information

Primary practice address
1545 Main St Marinette WI 54143-1334
Phone: (715) 735-3012
Fax: (715) 735-3636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1960-035 Wisconsin

Profile Details

NPI number 1215996723
LBN Legal business name Nottleson, Steven Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2006
Last updated Aug 3rd, 2021 - about 4 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 1215996723 NPPES
Other 1871667220 GROUP NPI
Other 39-1548019 GROUP NPI
Other DG8179 GROUP NPI
MEDICAID 38523200 GROUP NPI

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