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:
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Health care specialties

SpecialtyCodeLicense #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 8 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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