Malvitz-Overly, Cynthia A
Malvitz-Overly, Cynthia A is an individual health care provider with primary practice located at 1515 6Th St , Green Bay WI 54304-2272. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Malvitz-Overly, Cynthia A can be contacted via phone (920) 499-2147.Contact Information
Primary practice address
1515 6Th St
Green Bay WI 54304-2272
Phone: (920) 499-2147
Fax: (920) 499-0574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2511-035 | Wisconsin |
Profile Details
| NPI number | 1457498602 |
|---|---|
| LBN Legal business name | Malvitz-Overly, Cynthia A |
| Credentials | O.D., F.A.A.O. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1457498602 | NPPES |
| Wisconsin | Other | 2511-035 | STATE LICENSE # |
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