Springstroh, Cory A
Springstroh, Cory A is an individual health care provider with primary practice located at 240 Corporate Drive , Beaver Dam WI 53916-3115. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Springstroh, Cory A can be contacted via phone (920) 887-1151.Contact Information
Primary practice address
240 Corporate Drive
Beaver Dam WI 53916-3115
Phone: (920) 887-1151
Fax: (920) 887-3353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3183-35 | Wisconsin |
Profile Details
| NPI number | 1639481534 |
|---|---|
| LBN Legal business name | Springstroh, Cory A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2010 |
| Last updated | Jan 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639481534 | NPPES |
| Wisconsin | Other | 3183-35 | STATE LICENSE |
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