Slothouber, Wayne G

Slothouber, Wayne G is an individual health care provider with primary practice located at 5129 S Western Ave , Sioux Falls SD 57108. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Slothouber, Wayne G can be contacted via phone (605) 332-2231.

Contact Information

Primary practice address
5129 S Western Ave Sioux Falls SD 57108
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 144 South Dakota

Profile Details

NPI number 1710970371
LBN Legal business name Slothouber, Wayne G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Mar 27th, 2012 - about 12 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 1710970371 NPPES
South Dakota MEDICAID 9201860

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