Wadman, Brian Winfield

Wadman, Brian Winfield is an individual health care provider with primary practice located at 489 Bernardston Rd Suite 101, Greenfield MA 01301-1238. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wadman, Brian Winfield can be contacted via phone (413) 772-2571.

Contact Information

Primary practice address
489 Bernardston Rd Suite 101 Greenfield MA 01301-1238
Phone: (413) 772-2571
Fax: (413) 772-2266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3259 Massachusetts

Profile Details

NPI number 1841390937
LBN Legal business name Wadman, Brian Winfield
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 14th, 2012 - about 12 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 1841390937 NPPES
Massachusetts MEDICAID 0353787
Massachusetts Other 453866398
Massachusetts Other 453866398
Massachusetts Other Y70858
Massachusetts Other 453866398
Massachusetts Other 453866398
Massachusetts Other 453866398
Massachusetts Other 453866398
Massachusetts Other 453866398
Massachusetts Other 453866398
Massachusetts Other 17524
Massachusetts Other 731386

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