Grad, Howard Steven
Grad, Howard Steven is an sole proprietor health care provider with primary practice located at 122 E Center St Ste B, Manchester CT 06040-5265. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Grad, Howard Steven can be contacted via phone (860) 646-3933.Contact Information
Primary practice address
122 E Center St Ste B
Manchester CT 06040-5265
Phone: (860) 646-3933
Fax: (860) 432-1116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 766 | Connecticut |
Profile Details
| NPI number | 1609865146 |
|---|---|
| LBN Legal business name | Grad, Howard Steven |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | May 23rd, 2008 - about 18 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 | 1609865146 | NPPES |
| Connecticut | MEDICAID | 004024204 |
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