Phelps, Roxanne

Phelps, Roxanne is an individual health care provider with primary practice located at N84W16889 Menomonee Ave , Menomonee Falls WI 53051-2810. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Phelps, Roxanne can be contacted via phone (262) 251-7500.

Contact Information

Primary practice address
N84W16889 Menomonee Ave Menomonee Falls WI 53051-2810
Phone: (262) 251-7500
Fax: (262) 251-7128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2388 Wisconsin

Profile Details

NPI number 1003846171
LBN Legal business name Phelps, Roxanne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Nov 30th, 2021 - about 3 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 1003846171 NPPES
Wisconsin MEDICAID 38580100
Wisconsin Other P00450901

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