Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1700X | Ocularist |
NPI | 1689893273 |
---|---|
Provider Name | Sue C Binder |
First Address | Eau Claire, WI 54701-7074 |
Second Address | Eau Claire, WI 54701-7074 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 14/08/2014 |