Maietta, Martha
Maietta, Martha is an sole proprietor health care provider with primary practice located at 14 Vine St , New Britain CT 06052-1431. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Maietta, Martha can be contacted via phone (860) 229-1905.Contact Information
Primary practice address
14 Vine St
New Britain CT 06052-1431
Phone: (860) 229-1905
Fax: (860) 826-7292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02123 | Connecticut |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002123 | Connecticut |
Profile Details
| NPI number | 1942309380 |
|---|---|
| LBN Legal business name | Maietta, Martha |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 21st, 2016 - about 8 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 | 1942309380 | NPPES |
| Connecticut | MEDICAID | 004112306 |
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