Viebahn, Martin

Viebahn, Martin is an individual health care provider with primary practice located at 200 Theda Clark Plaza Suite 110, Neenah WI 54956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Viebahn, Martin can be contacted via phone (920) 751-8666.

Contact Information

Primary practice address
200 Theda Clark Plaza Suite 110 Neenah WI 54956
Phone: (920) 751-8666
Fax: (920) 751-8676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 37249 Wisconsin

Profile Details

NPI number 1164437802
LBN Legal business name Viebahn, Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164437802 NPPES
Wisconsin MEDICAID 32210200

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