Williquette, Jeffrey J
Williquette, Jeffrey J is an sole proprietor health care provider with primary practice located at 232 S Courtney St , Rhinelander WI 54501-3319. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Williquette, Jeffrey J can be contacted via phone (715) 365-1515.Contact Information
Primary practice address
232 S Courtney St
Rhinelander WI 54501-3319
Phone: (715) 365-1515
Fax: (715) 365-1518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1845 | Wisconsin |
Profile Details
| NPI number | 1780752329 |
|---|---|
| LBN Legal business name | Williquette, Jeffrey J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1780752329 | NPPES |
| Wisconsin | MEDICAID | 38518200 |
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