Wahl, Alex Michael

Wahl, Alex Michael is an individual health care provider with primary practice located at 515 N Spence Ave , Goldsboro NC 27534-4261. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wahl, Alex Michael can be contacted via phone (919) 778-7110.

Contact Information

Primary practice address
515 N Spence Ave Goldsboro NC 27534-4261
Phone: (919) 778-7110
Fax: (919) 778-6057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1971 North Carolina

Profile Details

NPI number 1710085188
LBN Legal business name Wahl, Alex Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 30th, 2010 - about 16 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 1710085188 NPPES
North Carolina MEDICAID 89093RP
North Carolina Other 093RP
North Carolina Other DA3706

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