Gaudreau, David B

Gaudreau, David B is an sole proprietor health care provider with primary practice located at 169 Grove St , Putnam CT 06260-2115. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gaudreau, David B can be contacted via phone (860) 963-2020.

Contact Information

Primary practice address
169 Grove St Putnam CT 06260-2115
Phone: (860) 963-2020
Fax: (860) 928-2040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002090 Connecticut

Profile Details

NPI number 1649241506
LBN Legal business name Gaudreau, David B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Jan 14th, 2008 - about 16 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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