Woronick, Michael T

Woronick, Michael T is an sole proprietor health care provider with primary practice located at 277 White St , Danbury CT 06810-6934. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Woronick, Michael T can be contacted via phone (203) 748-7393.

Contact Information

Primary practice address
277 White St Danbury CT 06810-6934
Fax: (203) 743-2825
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 001032 Connecticut

Profile Details

NPI number 1114912789
LBN Legal business name Woronick, Michael T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Oct 1st, 2008 - about 16 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 1114912789 NPPES
Connecticut MEDICAID 004062048

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