Sawallish, Tammi L

Sawallish, Tammi L is an individual health care provider with primary practice located at 269 Memorial Dr Ste 103 , Berlin WI 54923-1243. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sawallish, Tammi L can be contacted via phone (920) 361-1696.

Contact Information

Primary practice address
269 Memorial Dr Ste 103 Berlin WI 54923-1243
Fax: (920) 361-1247
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3047-035 Wisconsin

Profile Details

NPI number 1225063514
LBN Legal business name Sawallish, Tammi L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Sep 1st, 2023 - about last year

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 1225063514 NPPES
Wisconsin MEDICAID 38630100

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