Satterburg, John

Satterburg, John is an individual health care provider with primary practice located at 4801 Expo Dr , Manitowoc WI 54220-9341. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Satterburg, John can be contacted via phone (920) 684-4429.

Contact Information

Primary practice address
4801 Expo Dr Manitowoc WI 54220-9341
Fax: (920) 684-6892
Website:

Health care specialties

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

Profile Details

NPI number 1205821378
LBN Legal business name Satterburg, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Aug 22nd, 2007 - about 17 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 1205821378 NPPES
Wisconsin MEDICAID 38431000

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