O'Donnell, Renee Mikel

O'Donnell, Renee Mikel is an sole proprietor health care provider with primary practice located at 4054 Commonwealth Ave , Eau Claire WI 54701-9000. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. O'Donnell, Renee Mikel can be contacted via phone (715) 833-1220.

Contact Information

Primary practice address
4054 Commonwealth Ave Eau Claire WI 54701-9000
Fax: (715) 833-1297
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1891958690
LBN Legal business name O'Donnell, Renee Mikel
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2008
Last updated Jul 2nd, 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 1891958690 NPPES
Wisconsin MEDICAID 38460400

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