Carbonneau, Donald Rene

Carbonneau, Donald Rene is an sole proprietor health care provider with primary practice located at 313 Water St , Augusta ME 04330-4619. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carbonneau, Donald Rene can be contacted via phone (207) 623-8622.

Contact Information

Primary practice address
313 Water St Augusta ME 04330-4619
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT732 Maine

Profile Details

NPI number 1679600258
LBN Legal business name Carbonneau, Donald Rene
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Feb 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679600258 NPPES
Maine Other 000749 ANTHEM

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