Castagna, Wayne M
Castagna, Wayne M is an individual health care provider with primary practice located at 23C Fieldstone Cmns Grove Hill Medical Center, Tolland CT 06084-3422. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Castagna, Wayne M can be contacted via phone (860) 826-4460.Contact Information
Primary practice address
23C Fieldstone Cmns Grove Hill Medical Center
Tolland CT 06084-3422
Phone: (860) 826-4460
Fax: (860) 826-4436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002472 | Connecticut |
Profile Details
| NPI number | 1356327407 |
|---|---|
| LBN Legal business name | Castagna, Wayne M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Jan 8th, 2016 - about 8 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 | 1356327407 | NPPES |
| Connecticut | MEDICAID | 004239663 |
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