Longwell, Thomas Patrick
Longwell, Thomas Patrick is an sole proprietor health care provider with primary practice located at 1644 Monroe Ave , Rochester NY 14618-1417. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Longwell, Thomas Patrick can be contacted via phone (607) 731-4941.Contact Information
Primary practice address
1644 Monroe Ave
Rochester NY 14618-1417
Phone: (607) 731-4941
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 004044-1 | New York |
Profile Details
| NPI number | 1780874859 |
|---|---|
| LBN Legal business name | Longwell, Thomas Patrick |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Sep 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780874859 | NPPES |
| New York | MEDICAID | 02913817 |
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