Elder, Janine R
Elder, Janine R is an individual health care provider with primary practice located at 54 Park Ln , New Milford CT 06776-2917. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Elder, Janine R can be contacted via phone (860) 354-0130.Contact Information
Primary practice address
54 Park Ln
New Milford CT 06776-2917
Phone: (860) 354-0130
Fax: (860) 354-9058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2592 | Connecticut |
Profile Details
| NPI number | 1942264049 |
|---|---|
| LBN Legal business name | Elder, Janine R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Jun 3rd, 2024 - about 6 months 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 | 1942264049 | NPPES |
| Connecticut | MEDICAID | 004223947 |
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