Montaquila, Stephen M

Montaquila, Stephen M is an sole proprietor health care provider with primary practice located at 222 Jefferson Blvd , Warwick RI 02888-3855. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Montaquila, Stephen M can be contacted via phone (401) 732-2350.

Contact Information

Primary practice address
222 Jefferson Blvd Warwick RI 02888-3855
Fax: (401) 738-2744
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODTG00460 Rhode Island

Profile Details

NPI number 1326003674
LBN Legal business name Montaquila, Stephen M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Feb 17th, 2009 - about 15 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 1326003674 NPPES
Rhode Island Other 400433 BLUE CHIP
Rhode Island Other AA47839 BLUE CHIP
Rhode Island Other 7251720 BLUE CHIP
Rhode Island Other 2281709 BLUE CHIP

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