Colletti, Louise
Colletti, Louise is an individual health care provider with primary practice located at 661 N Broad St , Woodbury NJ 08096-1621. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Colletti, Louise can be contacted via phone (856) 845-7968.Contact Information
Primary practice address
661 N Broad St
Woodbury NJ 08096-1621
Phone: (856) 845-7968
Fax: (856) 845-8544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27TO00095700 | New Jersey |
Profile Details
| NPI number | 1407851934 |
|---|---|
| LBN Legal business name | Colletti, Louise |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jul 1st, 2011 - about 15 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 | 1407851934 | NPPES |
| New Jersey | MEDICAID | 3375218 | |
| New Jersey | MEDICAID | 80372 |
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