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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740319441 NPPES
Other 398175 UHC
Other 603005 UHC
Other 090000725CT01 UHC
MEDICAID 004023883 UHC

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