Jutras, Donat
Jutras, Donat is an sole proprietor health care provider with primary practice located at 927 Farmington Ave , Bristol CT 06010-3927. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Jutras, Donat can be contacted via phone (860) 589-6475.Contact Information
Primary practice address
927 Farmington Ave
Bristol CT 06010-3927
Phone: (860) 589-6475
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 688 | Connecticut |
Profile Details
| NPI number | 1154702041 |
|---|---|
| LBN Legal business name | Jutras, Donat |
| Credentials | LO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2015 |
| Last updated | Jun 16th, 2015 - about 11 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 | 1154702041 | NPPES |
| Connecticut | MEDICAID | 1871690131 |
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