Anderson Schaller, Katrina M

Anderson Schaller, Katrina M is an individual health care provider with primary practice located at 2825 Hunters Trl Lowr Level , Portage WI 53901-3429. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Anderson Schaller, Katrina M can be contacted via phone (608) 742-5522.

Contact Information

Primary practice address
2825 Hunters Trl Lowr Level Portage WI 53901-3429
Fax: (608) 745-3054
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2983-035 Wisconsin

Profile Details

NPI number 1902850977
LBN Legal business name Anderson Schaller, Katrina M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Oct 28th, 2020 - about 6 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 1902850977 NPPES
Wisconsin MEDICAID 1902850977

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