Omohundro, Dan Charles
Omohundro, Dan Charles is an individual health care provider with primary practice located at 2371 Black Rock Tpke , Fairfield CT 06825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Omohundro, Dan Charles can be contacted via phone (203) 371-0141.Contact Information
Primary practice address
2371 Black Rock Tpke
Fairfield CT 06825
Phone: (203) 371-0141
Fax: (203) 371-6585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 020114 | Connecticut |
Profile Details
| NPI number | 1295839546 |
|---|---|
| LBN Legal business name | Omohundro, Dan Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2006 |
| Last updated | May 5th, 2008 - 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 | 1295839546 | NPPES |
| Connecticut | MEDICAID | 1201144 |
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