Diaz, Maria I
Diaz, Maria I is an sole proprietor health care provider with primary practice located at 64 Thompson St Suite B104, East Haven CT 06513-5707. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Diaz, Maria I can be contacted via phone (203) 469-1012.Contact Information
Primary practice address
64 Thompson St Suite B104
East Haven CT 06513-5707
Phone: (203) 469-1012
Fax: (203) 467-1369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2426 | Connecticut |
Profile Details
| NPI number | 1265408371 |
|---|---|
| LBN Legal business name | Diaz, Maria I |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Oct 2nd, 2012 - about 14 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 | 1265408371 | NPPES |
| Connecticut | MEDICAID | 004173598 | |
| Connecticut | Other | 090002426CT12 | |
| Connecticut | Other | 544893 |
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