Terrill, Melissa Mcgowan
Terrill, Melissa Mcgowan is an individual health care provider with primary practice located at 10 Tower Dr , Sun Prairie WI 53590-1239. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Terrill, Melissa Mcgowan can be contacted via phone (608) 825-3008.Contact Information
Primary practice address
10 Tower Dr
Sun Prairie WI 53590-1239
Phone: (608) 825-3008
Fax: (608) 825-3794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3026-035 | Wisconsin |
Profile Details
| NPI number | 1013907310 |
|---|---|
| LBN Legal business name | Terrill, Melissa Mcgowan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Dec 13th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013907310 | NPPES |
| Wisconsin | MEDICAID | 1013907310 |
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