Veth, Mark Edward
Veth, Mark Edward is an individual health care provider with primary practice located at 437 N Pioneer Rd , Fond Du Lac WI 54935-2087. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Veth, Mark Edward can be contacted via phone (920) 923-0000.Contact Information
Primary practice address
437 N Pioneer Rd
Fond Du Lac WI 54935-2087
Phone: (920) 923-0000
Fax: (920) 923-5601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2956035 | Wisconsin |
Profile Details
| NPI number | 1649381518 |
|---|---|
| LBN Legal business name | Veth, Mark Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649381518 | NPPES |
| Wisconsin | MEDICAID | 38622200 |
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