Sostilio, Nicholas Ernest

Sostilio, Nicholas Ernest is an individual health care provider with primary practice located at 2379 Black Rock Tpke , Fairfield CT 06825-3229. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sostilio, Nicholas Ernest can be contacted via phone (203) 333-5590.

Contact Information

Primary practice address
2379 Black Rock Tpke Fairfield CT 06825-3229
Fax: (203) 333-6722
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3.003109 Connecticut

Profile Details

NPI number 1710532833
LBN Legal business name Sostilio, Nicholas Ernest
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2019
Last updated Oct 31st, 2022 - about 3 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 1710532833 NPPES
Connecticut MEDICAID 008112906

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