Joel, David W.
Joel, David W. is an sole proprietor health care provider with primary practice located at 130 Amity Rd , New Haven CT 06515-1405. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Joel, David W. can be contacted via phone (203) 397-3878.Contact Information
Primary practice address
130 Amity Rd
New Haven CT 06515-1405
Phone: (203) 397-3878
Fax: (203) 397-9110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 948 | Connecticut |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 948 | Connecticut |
Profile Details
| NPI number | 1861484081 |
|---|---|
| LBN Legal business name | Joel, David W. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Aug 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861484081 | NPPES |
| Connecticut | MEDICAID | 004101218 |
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