Mass, Martin Alan
Mass, Martin Alan is an sole proprietor health care provider with primary practice located at 86 Park St , Hartford CT 06106-2524. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mass, Martin Alan can be contacted via phone (860) 728-5200.Contact Information
Primary practice address
86 Park St
Hartford CT 06106-2524
Phone: (860) 728-5200
Fax: (860) 728-5203
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 000755 | Connecticut |
Profile Details
NPI number | 1750410064 |
---|---|
LBN Legal business name | Mass, Martin Alan |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 4th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1750410064 | NPPES |
Connecticut | MEDICAID | 004024139 | |
Connecticut | Other | 090000755CT02 |
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