Paunovich, Jay

Paunovich, Jay is an individual health care provider with primary practice located at 6012 W North Ave , Wauwatosa WI 53213-1528. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Paunovich, Jay can be contacted via phone (414) 453-6500.

Contact Information

Primary practice address
6012 W North Ave Wauwatosa WI 53213-1528
Phone: (414) 453-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1306019252
LBN Legal business name Paunovich, Jay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2008
Last updated Apr 10th, 2008 - about 18 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 1306019252 NPPES
Wisconsin MEDICAID 38452600

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