Wasloski, Edward John
Wasloski, Edward John is an individual health care provider with primary practice located at 1312 Manatee Ave E , Bradenton FL 34208-1358. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wasloski, Edward John can be contacted via phone (941) 750-8797.Contact Information
Primary practice address
1312 Manatee Ave E
Bradenton FL 34208-1358
Phone: (941) 750-8797
Fax: (941) 799-2804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2214 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA0943 | Maryland |
Profile Details
| NPI number | 1952307084 |
|---|---|
| LBN Legal business name | Wasloski, Edward John |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Oct 26th, 2023 - about 3 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 | 1952307084 | NPPES |
| Maryland | Other | K769BH63 | MEDICARE PTAN |
| Maryland | MEDICAID | 279278800 | MEDICARE PTAN |
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