Beaudette, Edward
Beaudette, Edward is an sole proprietor health care provider with primary practice located at 2301 State St , Hamden CT 06517-3721. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Beaudette, Edward can be contacted via phone (203) 288-4905.Contact Information
Primary practice address
2301 State St
Hamden CT 06517-3721
Phone: (203) 288-4905
Fax: (203) 288-4905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 1001 | Connecticut |
Profile Details
| NPI number | 1164643797 |
|---|---|
| LBN Legal business name | Beaudette, Edward |
| Credentials | L.O. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2007 |
| Last updated | Oct 30th, 2008 - about 18 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 | 1164643797 | NPPES |
| Other | CU8360 | HEALTHNET | |
| Other | 100001001CT02 | HEALTHNET | |
| MEDICAID | 004054029 | HEALTHNET | |
| Other | CT1001 | HEALTHNET |
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