Cagle, Laurie Wade
Cagle, Laurie Wade is an individual health care provider with primary practice located at 301 Hospital Rd. , Fulton MS 38843-0519. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cagle, Laurie Wade can be contacted via phone (662) 862-9741.Contact Information
Primary practice address
301 Hospital Rd.
Fulton MS 38843-0519
Phone: (662) 862-9741
Fax: (662) 862-3584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 740 | Mississippi |
Profile Details
| NPI number | 1558410035 |
|---|---|
| LBN Legal business name | Cagle, Laurie Wade |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Dec 19th, 2008 - about 18 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 | 1558410035 | NPPES |
| Mississippi | MEDICAID | 00834230 |
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