Wheeler, David Glenn
Wheeler, David Glenn is an individual health care provider with primary practice located at 569 Mid Rivers Mall Dr , Saint Peters MO 63376-2152. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wheeler, David Glenn can be contacted via phone (636) 970-2020.Contact Information
Primary practice address
569 Mid Rivers Mall Dr
Saint Peters MO 63376-2152
Phone: (636) 970-2020
Fax: (636) 397-0833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2015042988 | Missouri |
Profile Details
| NPI number | 1720207178 |
|---|---|
| LBN Legal business name | Wheeler, David Glenn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Feb 19th, 2018 - about 6 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 | 1720207178 | NPPES |
| Missouri | Other | 172200015 | MEDICARE |
| Missouri | MEDICAID | 1720207178 | MEDICARE |
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