Czelusniak, Donald Henry
Czelusniak, Donald Henry is an sole proprietor health care provider with primary practice located at 76 Summer St Ste 120, Fitchburg MA 01420. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Czelusniak, Donald Henry can be contacted via phone (978) 345-3556.Contact Information
Primary practice address
76 Summer St Ste 120
Fitchburg MA 01420
Phone: (978) 345-3556
Fax: (978) 342-9251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2164 | Massachusetts |
Profile Details
| NPI number | 1720181266 |
|---|---|
| LBN Legal business name | Czelusniak, Donald Henry |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jun 2nd, 2010 - about 16 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 | 1720181266 | NPPES |
| Massachusetts | MEDICAID | 0399043 |
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