Petrick Gatchell, Theresa Lynn
Petrick Gatchell, Theresa Lynn is an individual health care provider with primary practice located at 1300 S Koeller Road , Oshkosh WI 54902. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Petrick Gatchell, Theresa Lynn can be contacted via phone (920) 426-5730.Contact Information
Primary practice address
1300 S Koeller Road
Oshkosh WI 54902
Phone: (920) 426-5730
Fax: (920) 426-1708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2857-035 | Wisconsin |
Profile Details
| NPI number | 1285688192 |
|---|---|
| LBN Legal business name | Petrick Gatchell, Theresa Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1285688192 | NPPES |
| Wisconsin | MEDICAID | 38615900 |
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