Smits, David Paul

Smits, David Paul is an individual health care provider with primary practice located at 800 E Maes Ave , Kimberly WI 54136-1527. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smits, David Paul can be contacted via phone (920) 788-4114.

Contact Information

Primary practice address
800 E Maes Ave Kimberly WI 54136-1527
Fax: (920) 788-1810
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1489 Wisconsin

Profile Details

NPI number 1467404079
LBN Legal business name Smits, David Paul
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 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 1467404079 NPPES
Wisconsin MEDICAID 38539900

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