Zolot, David
Zolot, David is an individual health care provider with primary practice located at 11340 N Port Washington Rd , Mequon WI 53092-3412. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Zolot, David can be contacted via phone (262) 240-0455.Contact Information
Primary practice address
11340 N Port Washington Rd
Mequon WI 53092-3412
Phone: (262) 240-0455
Fax: (262) 240-0460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2272 | Wisconsin |
Profile Details
| NPI number | 1417013343 |
|---|---|
| LBN Legal business name | Zolot, David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1417013343 | NPPES |
| Wisconsin | MEDICAID | 38575800 |
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