Rubsam, John Stephen
Rubsam, John Stephen is an individual health care provider with primary practice located at 71 Cedar St , Branford CT 06405. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rubsam, John Stephen can be contacted via phone (203) 481-5909.Contact Information
Primary practice address
71 Cedar St
Branford CT 06405
Phone: (203) 481-5909
Fax: (203) 483-5289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1022 | Connecticut |
Profile Details
| NPI number | 1164493391 |
|---|---|
| LBN Legal business name | Rubsam, John Stephen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | May 23rd, 2016 - about 8 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 | 1164493391 | NPPES |
| Connecticut | Other | 090001022CT01 | ANTHEM BLUE CROSS ID |
| Connecticut | Other | 615076 | ANTHEM BLUE CROSS ID |
| Connecticut | Other | OV1151 | ANTHEM BLUE CROSS ID |
| Connecticut | MEDICAID | 004075511 | ANTHEM BLUE CROSS ID |
| Connecticut | Other | P1285753 | ANTHEM BLUE CROSS ID |
| Connecticut | Other | 4419937 | ANTHEM BLUE CROSS ID |
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