Wertelet, Michelle Lynn

Wertelet, Michelle Lynn is an individual health care provider with primary practice located at 1005 Beaver Grade Rd Ste G10 , Moon Township PA 15108-2964. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wertelet, Michelle Lynn can be contacted via phone (412) 308-9111.

Contact Information

Primary practice address
1005 Beaver Grade Rd Ste G10 Moon Township PA 15108-2964
Phone: (412) 308-9111
Fax: (412) 308-9112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001764 Pennsylvania

Profile Details

NPI number 1477577369
LBN Legal business name Wertelet, Michelle Lynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jun 13th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477577369 NPPES
Pennsylvania MEDICAID 1020734660001

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