Chacon, Alicia Marie
Chacon, Alicia Marie is an individual health care provider with primary practice located at 925 N 87Th St , Milwaukee WI 53226-4812. She recently has only one registered license in Eye and Vision Services Providers / Pediatrics, which is considered as her primary health care specialty.Contact Information
Primary practice address
925 N 87Th St
Milwaukee WI 53226-4812
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 3483-35 | Wisconsin |
Profile Details
| NPI number | 1831541887 |
|---|---|
| LBN Legal business name | Chacon, Alicia Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2016 |
| Last updated | Mar 11th, 2024 - about 2 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 | 1831541887 | NPPES |
| Wisconsin | MEDICAID | 1831541887 | |
| Wisconsin | MEDICAID | 1831541887 |
Popular Providers
-
Carr, Larry Wayne
214 Washington St , Saint Marys WV 26170-1041 -
Couzins, Christopher Scott
23 North Main Street Box 578, Holland NY 14080 -
Dzik, Joseph M.
7329 Shallowford Rd , Chattanooga TN 37421-2627 -
Tao, Tony Yu
1150 N Watters Rd Suite 107, Allen TX 75013-5508 -
Schultz, Jeffrey E
6060 Rockside Woods Blvd N Ste 110, Independence OH 44131-7303 -
Graf, Jeffery Donald
754 S Main St Ste 6, Saint George UT 84770-5504 -
Carlisle, Max L
111 E Broadway , Fairview OK 73737-2124 -
Graf, Dale K.
105 W Orchard Ave , Selah WA 98942-1329