Devine, Susan J
Devine, Susan J is an sole proprietor health care provider with primary practice located at 44 Prospect Hill Rd , East Windsor CT 06088-9501. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Devine, Susan J can be contacted via phone (860) 623-8013.Contact Information
Primary practice address
44 Prospect Hill Rd
East Windsor CT 06088-9501
Phone: (860) 623-8013
Fax: (860) 627-6433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2404 | Connecticut |
Profile Details
| NPI number | 1467590679 |
|---|---|
| LBN Legal business name | Devine, Susan J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Oct 18th, 2013 - about 11 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 | 1467590679 | NPPES |
| Connecticut | MEDICAID | 004157493 |
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