Perkovich, Melissa
Perkovich, Melissa 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. Perkovich, Melissa can be contacted via phone (715) 833-1220.Contact Information
Primary practice address
4054 Commonwealth Ave
Eau Claire WI 54701-9000
Phone: (715) 833-1220
Fax: (715) 833-1297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1790107324 |
|---|---|
| LBN Legal business name | Perkovich, Melissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2014 |
| Last updated | Jan 16th, 2014 - 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 | 1790107324 | NPPES |
| Wisconsin | MEDICAID | 38460500 |
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