Inclima, Alphonse A

Inclima, Alphonse A is an individual health care provider with primary practice located at 415 Main St , West Haven CT 06516-4296. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Inclima, Alphonse A can be contacted via phone (203) 934-5126.

Contact Information

Primary practice address
415 Main St West Haven CT 06516-4296
Phone: (203) 934-5126
Fax: (230) 932-2020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 620 Connecticut

Profile Details

NPI number 1740241751
LBN Legal business name Inclima, Alphonse A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 14th, 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 1740241751 NPPES
Connecticut Other 090000620CT01 ANTHEM
Connecticut Other 0519296 ANTHEM
Connecticut MEDICAID 004123882 ANTHEM
Connecticut Other 7237342004 ANTHEM
Connecticut Other P378019 ANTHEM
Connecticut Other 22-04189 ANTHEM
Connecticut Other O.D.0V0259 ANTHEM

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