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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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