Seidel, Seth David
Seidel, Seth David is an sole proprietor health care provider with primary practice located at 34 Main St , Windsor Locks CT 06096-2326. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Seidel, Seth David can be contacted via phone (860) 623-3727.Contact Information
Primary practice address
34 Main St
Windsor Locks CT 06096-2326
Phone: (860) 623-3727
Fax: (860) 623-9510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 931 | Connecticut |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 931 | Connecticut |
Profile Details
| NPI number | 1700969979 |
|---|---|
| LBN Legal business name | Seidel, Seth David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Mar 17th, 2015 - about 10 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 | 1700969979 | NPPES |
| Connecticut | MEDICAID | 004071825 |
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