Augustauskas, Mark
Augustauskas, Mark is an sole proprietor health care provider with primary practice located at 21 Holley Ln 93 Waterbury Rd., Prospect CT 06712-1484. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Augustauskas, Mark can be contacted via phone (203) 758-6569.Contact Information
Primary practice address
21 Holley Ln 93 Waterbury Rd.
Prospect CT 06712-1484
Phone: (203) 758-6569
Fax: (203) 758-0443
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 002427 | Connecticut |
Profile Details
NPI number | 1578561171 |
---|---|
LBN Legal business name | Augustauskas, Mark |
Credentials | Registered Physical Therapist (RPT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 8th, 2005 |
Last updated | Nov 8th, 2010 - about 14 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 | 1578561171 | NPPES |
Connecticut | Other | 002427 | STATE LICENSE, PHYSICAL T |
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