Ouellette, Robert J

Ouellette, Robert J is an individual health care provider with primary practice located at 156 Farmington Ave , Bristol CT 06010-4218. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Ouellette, Robert J can be contacted via phone (860) 583-2108.

Contact Information

Primary practice address
156 Farmington Ave Bristol CT 06010-4218
Phone: (860) 583-2108
Fax: (860) 583-5487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 025570 Connecticut
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 025570 Connecticut

Profile Details

NPI number 1558310763
LBN Legal business name Ouellette, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Oct 18th, 2007 - about 19 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 1558310763 NPPES
Connecticut MEDICAID 1255702

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