Courtemanche, Brian Paul

Courtemanche, Brian Paul is an individual health care provider with primary practice located at 230 N Main St , Manchester CT 06042-2004. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Courtemanche, Brian Paul can be contacted via phone (860) 646-4083.

Contact Information

Primary practice address
230 N Main St Manchester CT 06042-2004
Phone: (860) 646-4083
Fax: (860) 647-1733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002567 Connecticut

Profile Details

NPI number 1386673648
LBN Legal business name Courtemanche, Brian Paul
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Oct 26th, 2007 - about 19 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 1386673648 NPPES
Connecticut MEDICAID 004218287
Connecticut Other 410047532

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