Whetten, Ivan Russell
Whetten, Ivan Russell is an sole proprietor health care provider with primary practice located at 2624 Commercial Way Ste B, Rock Springs WY 82901-4769. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Whetten, Ivan Russell can be contacted via phone (307) 382-3753.Contact Information
Primary practice address
2624 Commercial Way Ste B
Rock Springs WY 82901-4769
Phone: (307) 382-3753
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 400T | Wyoming |
Profile Details
| NPI number | 1780069401 |
|---|---|
| LBN Legal business name | Whetten, Ivan Russell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2015 |
| Last updated | Aug 11th, 2015 - about 9 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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