Denatale, Leo Carl
Denatale, Leo Carl is an individual health care provider with primary practice located at 334 Trapelo Rd , Belmont MA 02478. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Denatale, Leo Carl can be contacted via phone (617) 484-4851.Contact Information
Primary practice address
334 Trapelo Rd
Belmont MA 02478
Phone: (617) 484-4851
Fax: (617) 484-4852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2899 | Massachusetts |
Profile Details
| NPI number | 1548367238 |
|---|---|
| LBN Legal business name | Denatale, Leo Carl |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1548367238 | NPPES |
| Massachusetts | MEDICAID | 0343668 |
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