Beaulieu, Mary Christine
Beaulieu, Mary Christine is an individual health care provider with primary practice located at 131 Boston Post Rd Suite 4, Waterford CT 06385-2839. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Beaulieu, Mary Christine can be contacted via phone (860) 442-5058.Contact Information
Primary practice address
131 Boston Post Rd Suite 4
Waterford CT 06385-2839
Phone: (860) 442-5058
Fax: (860) 443-4118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2212 | Connecticut |
Profile Details
| NPI number | 1528126117 |
|---|---|
| LBN Legal business name | Beaulieu, Mary Christine |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Aug 26th, 2009 - about 17 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 | 1528126117 | NPPES |
| Connecticut | MEDICAID | 004092277 |
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