Nowak, Richard Joseph
Nowak, Richard Joseph is an sole proprietor health care provider with primary practice located at 155 North Road , East Windsor CT 06088. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nowak, Richard Joseph can be contacted via phone (860) 623-8217.Contact Information
Primary practice address
155 North Road
East Windsor CT 06088
Phone: (860) 623-8217
Fax: (860) 627-7706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | CT725 | Connecticut |
Profile Details
| NPI number | 1740319441 |
|---|---|
| LBN Legal business name | Nowak, Richard Joseph |
| Credentials | OD MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Mar 23rd, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740319441 | NPPES |
| Other | 398175 | UHC | |
| Other | 603005 | UHC | |
| Other | 090000725CT01 | UHC | |
| MEDICAID | 004023883 | UHC |
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