Wood, Anita J.
Wood, Anita J. is an sole proprietor health care provider with primary practice located at 6570 N Illinois St Ste A , Fairview Heights IL 62208-2195. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wood, Anita J. can be contacted via phone (618) 628-3502.Contact Information
Primary practice address
6570 N Illinois St Ste A
Fairview Heights IL 62208-2195
Phone: (618) 628-3502
Fax: (618) 628-3515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-008533 | Illinois |
Profile Details
| NPI number | 1538274899 |
|---|---|
| LBN Legal business name | Wood, Anita J. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2006 |
| Last updated | May 25th, 2018 - about 7 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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