Wilson, Kristin Skluzacek

Wilson, Kristin Skluzacek is an individual health care provider with primary practice located at 302 S Knowles Ave , New Richmond WI 54017-1731. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wilson, Kristin Skluzacek can be contacted via phone (715) 246-2419.

Contact Information

Primary practice address
302 S Knowles Ave New Richmond WI 54017-1731
Phone: (715) 246-2419
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046009996 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 3126 Wisconsin
Eye and Vision Services Providers / Optometrist 152W00000X 3137 Minnesota

Profile Details

NPI number 1518166297
LBN Legal business name Wilson, Kristin Skluzacek
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Dec 15th, 2009 - about 16 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 1518166297 NPPES
Illinois MEDICAID 046009996

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