Webb, Herbert Tucker
Webb, Herbert Tucker is an individual health care provider with primary practice located at 1205 Suffolk Dr , Janesville WI 53546-1606. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Webb, Herbert Tucker can be contacted via phone (608) 754-3379.Contact Information
Primary practice address
1205 Suffolk Dr
Janesville WI 53546-1606
Phone: (608) 754-3379
Fax: (608) 741-1506
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2646 | Wisconsin |
Profile Details
NPI number | 1306830856 |
---|---|
LBN Legal business name | Webb, Herbert Tucker |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2005 |
Last updated | Apr 18th, 2012 - about 13 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 | 1306830856 | NPPES |
Wisconsin | MEDICAID | 38596300 |
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