Gudeahn, Holly J

Gudeahn, Holly J is an sole proprietor health care provider with primary practice located at 625 School St , Putnam CT 06260-2424. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Gudeahn, Holly J can be contacted via phone (860) 630-4634.

Contact Information

Primary practice address
625 School St Putnam CT 06260-2424
Phone: (860) 630-4634
Fax: (860) 928-4975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 001763 Connecticut

Profile Details

NPI number 1003321985
LBN Legal business name Gudeahn, Holly J
Credentials LO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2017
Last updated Dec 13th, 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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