Dick, William

Dick, William is an individual health care provider with primary practice located at 1437 S Main St , West Bend WI 53095-4931. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dick, William can be contacted via phone (262) 334-1925.

Contact Information

Primary practice address
1437 S Main St West Bend WI 53095-4931
Phone: (262) 334-1925
Fax: (262) 334-4303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1345-035 Wisconsin

Profile Details

NPI number 1649335662
LBN Legal business name Dick, William
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 9th, 2007 - about 19 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 1649335662 NPPES
Wisconsin MEDICAID 38500700

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