Shufelt, Heidi Anne
Shufelt, Heidi Anne is an individual health care provider with primary practice located at 4801 Washington Ave , Racine WI 53406-4219. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Shufelt, Heidi Anne can be contacted via phone (262) 637-3733.Contact Information
Primary practice address
4801 Washington Ave
Racine WI 53406-4219
Phone: (262) 637-3733
Fax: (262) 637-0752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2554 | Wisconsin |
Profile Details
| NPI number | 1447200456 |
|---|---|
| LBN Legal business name | Shufelt, Heidi Anne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447200456 | NPPES |
| Wisconsin | MEDICAID | 38595900 |
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