Fetters, Sheila M

Fetters, Sheila M is an individual health care provider with primary practice located at 2600 Edgewood Rd Sw Suite 376, Cedar Rapids IA 52404-7818. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fetters, Sheila M can be contacted via phone (319) 390-4144.

Contact Information

Primary practice address
2600 Edgewood Rd Sw Suite 376 Cedar Rapids IA 52404-7818
Phone: (319) 390-4144
Fax: (319) 390-4674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X IA2049 Iowa

Profile Details

NPI number 1043207434
LBN Legal business name Fetters, Sheila M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Sep 17th, 2012 - about 14 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 1043207434 NPPES
Iowa Other 202664232 COMMERCIAL
Iowa Other 45822 COMMERCIAL

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