Waterfill, David L
Waterfill, David L is an individual health care provider with primary practice located at 1401 S 108Th St , West Allis WI 53214-4012. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Waterfill, David L can be contacted via phone (414) 476-0200.Contact Information
Primary practice address
1401 S 108Th St
West Allis WI 53214-4012
Phone: (414) 476-0200
Fax: (414) 476-1199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2873-035 | Wisconsin |
Profile Details
| NPI number | 1437165701 |
|---|---|
| LBN Legal business name | Waterfill, David L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Dec 21st, 2007 - about 18 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 | 1437165701 | NPPES |
| Other | WI2873 | EYEMED VISION NO. |
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