Elder, Kenneth H
Elder, Kenneth H is an individual health care provider with primary practice located at 821 N Main Street Ext , Wallingford CT 06492-2464. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Elder, Kenneth H can be contacted via phone (203) 265-5152.Contact Information
Primary practice address
821 N Main Street Ext
Wallingford CT 06492-2464
Phone: (203) 265-5152
Fax: (203) 265-1562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2591 | Connecticut |
Profile Details
| NPI number | 1922170224 |
|---|---|
| LBN Legal business name | Elder, Kenneth H |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jul 27th, 2017 - about 9 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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