Carpenter, Willard Carleton

Carpenter, Willard Carleton is an sole proprietor health care provider with primary practice located at 57 Main St , Newport NH 03773-1519. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carpenter, Willard Carleton can be contacted via phone (603) 863-7770.

Contact Information

Primary practice address
57 Main St Newport NH 03773-1519
Fax: (603) 863-7248
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0222 New Hampshire

Profile Details

NPI number 1447278726
LBN Legal business name Carpenter, Willard Carleton
Credentials OD/OPTOMETRIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Oct 28th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447278726 NPPES
New Hampshire Other 1052 DAVIS VISION
New Hampshire Other NH0222 DAVIS VISION
New Hampshire Other 355970 DAVIS VISION
New Hampshire Other 43913 DAVIS VISION
New Hampshire Other 0907770Y0NH01 DAVIS VISION
New Hampshire Other 0907770Y0NH01 DAVIS VISION
New Hampshire Other 4149509 DAVIS VISION
New Hampshire MEDICAID 80587770 DAVIS VISION

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