Carli, Lynn Marie

Carli, Lynn Marie is an individual health care provider with primary practice located at 535 South Monroe Ave , Green Bay WI 54301-4096. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Carli, Lynn Marie can be contacted via phone (920) 435-9511.

Contact Information

Primary practice address
535 South Monroe Ave Green Bay WI 54301-4096
Phone: (920) 435-9511
Fax: (920) 435-9383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1929 Wisconsin

Profile Details

NPI number 1184694861
LBN Legal business name Carli, Lynn Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Mar 7th, 2023 - about 3 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 1184694861 NPPES
Wisconsin Other 033704 AOA
Wisconsin Other 0752560001 AOA
Wisconsin MEDICAID 38524500 AOA

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