Waggoner, Chad Michael

Waggoner, Chad Michael is an individual health care provider with primary practice located at 891 Westminster St , Providence RI 02903-4020. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Waggoner, Chad Michael can be contacted via phone (401) 331-7850.

Contact Information

Primary practice address
891 Westminster St Providence RI 02903-4020
Phone: (401) 331-7850
Fax: (401) 274-4739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00003598 Washington
Eye and Vision Services Providers / Optometrist 152W00000X ODTG00743 Rhode Island

Profile Details

NPI number 1285686139
LBN Legal business name Waggoner, Chad Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 27th, 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.

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