Fournier, Edward Robert
Fournier, Edward Robert is an sole proprietor health care provider with primary practice located at 405 N Main St , Bristol CT 06010-4924. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fournier, Edward Robert can be contacted via phone (860) 584-0171.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5373 | Connecticut |
Profile Details
| NPI number | 1487678231 |
|---|---|
| LBN Legal business name | Fournier, Edward Robert |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Dec 19th, 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 | 1487678231 | NPPES |
| Utah | Other | 020005373CT01 | UNITED HEALTH CARE-DENTAL |
| Utah | Other | 020005373CT01 | UNITED HEALTH CARE-DENTAL |
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