Eakin, Trixie Irene
Eakin, Trixie Irene is an individual health care provider with primary practice located at 101 S. Main St , De Forest WI 53532. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Eakin, Trixie Irene can be contacted via phone (608) 846-5625.Contact Information
Primary practice address
101 S. Main St
De Forest WI 53532
Phone: (608) 846-5625
Fax: (608) 846-8998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2954-035 | Wisconsin |
Profile Details
| NPI number | 1326038670 |
|---|---|
| LBN Legal business name | Eakin, Trixie Irene |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Feb 18th, 2009 - about 17 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 | 1326038670 | NPPES |
| Wisconsin | MEDICAID | 38620800 |
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