Denegre, Mark
Denegre, Mark is an individual health care provider with primary practice located at 90 Main St Suite 101, Centerbrook CT 06409-1056. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Denegre, Mark can be contacted via phone (860) 767-3206.Contact Information
Primary practice address
90 Main St Suite 101
Centerbrook CT 06409-1056
Phone: (860) 767-3206
Fax: (860) 767-0836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 780 | Connecticut |
Profile Details
| NPI number | 1659446342 |
|---|---|
| LBN Legal business name | Denegre, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jan 23rd, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659446342 | NPPES |
| Connecticut | Other | 200001396CT01 | ANTHEM |
| Connecticut | Other | 1909 | ANTHEM |
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