Grady, William

Grady, William is an sole proprietor health care provider with primary practice located at 5134 6Th Ave , Kenosha WI 53140-3404. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Grady, William can be contacted via phone (262) 652-2020.

Contact Information

Primary practice address
5134 6Th Ave Kenosha WI 53140-3404
Phone: (262) 652-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2215 - 035 Wisconsin

Profile Details

NPI number 1740322783
LBN Legal business name Grady, William
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 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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