Samuelson, Steven
Samuelson, Steven is an individual health care provider with primary practice located at 428 W Main St , Mount Horeb WI 53572-1902. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Samuelson, Steven can be contacted via phone (608) 437-3377.Contact Information
Primary practice address
428 W Main St
Mount Horeb WI 53572-1902
Phone: (608) 437-3377
Fax: (608) 437-5063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2640 | Wisconsin |
Profile Details
| NPI number | 1275519290 |
|---|---|
| LBN Legal business name | Samuelson, Steven |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Jul 9th, 2010 - about 15 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 | 1275519290 | NPPES |
| Wisconsin | MEDICAID | 38595200 |
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