Foreman, William D.

Foreman, William D. is an sole proprietor health care provider with primary practice located at 131 Boston Post Rd Suite 4, Waterford CT 06385-2839. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Foreman, William D. can be contacted via phone (860) 442-1167.

Contact Information

Primary practice address
131 Boston Post Rd Suite 4 Waterford CT 06385-2839
Fax: (860) 443-4118
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 000679 Connecticut

Profile Details

NPI number 1275853541
LBN Legal business name Foreman, William D.
Credentials L.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2010
Last updated Jun 9th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275853541 NPPES
Connecticut MEDICAID 1063571214

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