Marquardt, R Christopher

Marquardt, R Christopher is an individual health care provider with primary practice located at 515 N 17Th Ave , Wausau WI 54401-2910. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Marquardt, R Christopher can be contacted via phone (715) 848-1246.

Contact Information

Primary practice address
515 N 17Th Ave Wausau WI 54401-2910
Phone: (715) 848-1246
Fax: (715) 842-1660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2446 Wisconsin

Profile Details

NPI number 1417929761
LBN Legal business name Marquardt, R Christopher
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Sep 17th, 2020 - about 5 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 1417929761 NPPES
Wisconsin MEDICAID 38590600

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