Fava, Timothy A
Fava, Timothy A is an sole proprietor health care provider with primary practice located at 450 Providence Rd , Brooklyn CT 06234-1823. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Fava, Timothy A can be contacted via phone (860) 412-5141.Contact Information
Primary practice address
450 Providence Rd
Brooklyn CT 06234-1823
Phone: (860) 412-5141
Fax: (860) 774-1656
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optician | 156FX1800X | 1629 | Connecticut |
Eye and Vision Services Providers / Optician | 156FX1800X | 6151 | Massachusetts |
Eye and Vision Services Providers / Optician | 156FX1800X | OP0035 | Rhode Island |
Profile Details
NPI number | 1508226762 |
---|---|
LBN Legal business name | Fava, Timothy A |
Credentials | OPTICIAN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 2nd, 2016 |
Last updated | Mar 2nd, 2016 - about 9 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.
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