Fouquet, Frederick Joseph

Fouquet, Frederick Joseph is an sole proprietor health care provider with primary practice located at 56 State St , Pittsford NY 14534-2344. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fouquet, Frederick Joseph can be contacted via phone (585) 381-4640.

Contact Information

Primary practice address
56 State St Pittsford NY 14534-2344
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV002722-1 New York

Profile Details

NPI number 1487700647
LBN Legal business name Fouquet, Frederick Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2007
Last updated Jul 8th, 2007 - about 18 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 1487700647 NPPES
New York MEDICAID 00445749

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