Luellwitz, David Richard

Luellwitz, David Richard is an individual health care provider with primary practice located at 3524 E Milwaukee St , Janesville WI 53546-1626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Luellwitz, David Richard can be contacted via phone (608) 756-7110.

Contact Information

Primary practice address
3524 E Milwaukee St Janesville WI 53546-1626
Phone: (608) 756-7110
Fax: (608) 756-7106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 45377 Wisconsin
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 45377 Wisconsin
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 036110948 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036110948 Illinois

Profile Details

NPI number 1518066554
LBN Legal business name Luellwitz, David Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Apr 6th, 2017 - about 9 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 1518066554 NPPES
Wisconsin MEDICAID 43505100

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