MEDICARE: DR. EARL WILLIAM NEPPLE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	19896	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942286190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EARL WILLIAM NEPPLE MD

Provider Business Mailing Address
First Line	:	1201 OAK STREET
Second Line	:
City	:	WEST BEND
State	:	WI
Zip	:	53095
Country	:	US
Telephone Number	:	262-338-0505
Fax Number	:	262-338-0807

Provider Business Practice Location Address
First Line	:	1201 OAK STREET
Second Line	:
City	:	WEST BEND
State	:	WI
Zip	:	53095
Country	:	US
Telephone Number	:	262-338-0505
Fax Number	:	262-338-0807

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	05/28/2010

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