Stewart, Alisa K
Stewart, Alisa K is an individual health care provider with primary practice located at 424 Yellowstone Ave Suite 110, Cody WY 82414-9318. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Stewart, Alisa K can be contacted via phone (307) 587-5788.Contact Information
Primary practice address
424 Yellowstone Ave Suite 110
Cody WY 82414-9318
Phone: (307) 587-5788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 156FX1800X | Wyoming |
Profile Details
| NPI number | 1467617266 |
|---|---|
| LBN Legal business name | Stewart, Alisa K |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | Oct 6th, 2011 - about 15 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 | 1467617266 | NPPES |
| Wyoming | MEDICAID | 113960600 |
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