Scoresby, Benjamin R

Scoresby, Benjamin R is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-8335. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Scoresby, Benjamin R can be contacted via phone (920) 926-8472.

Contact Information

Primary practice address
421 Camelot Dr Fond Du Lac WI 54935-8335
Fax: (920) 926-8391
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3147 Wisconsin

Profile Details

NPI number 1144458415
LBN Legal business name Scoresby, Benjamin R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Oct 21st, 2020 - about 4 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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