Zoelle, Michael K
Zoelle, Michael K is an individual health care provider with primary practice located at 210 Wisconsin American Dr , Fond Du Lac WI 54937-2999. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Zoelle, Michael K can be contacted via phone (920) 907-7000.Contact Information
Primary practice address
210 Wisconsin American Dr
Fond Du Lac WI 54937-2999
Phone: (920) 907-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3688 | Wisconsin |
Profile Details
| NPI number | 1871175257 |
|---|---|
| LBN Legal business name | Zoelle, Michael K |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2021 |
| Last updated | Feb 23rd, 2023 - about last year |
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 | 1871175257 | NPPES |
| Wisconsin | MEDICAID | 100208681 |
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