Kelleman, Michael David
Kelleman, Michael David is an sole proprietor health care provider with primary practice located at 555 Willard Ave Eye Clinic, Newington CT 06111-2631. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kelleman, Michael David can be contacted via phone (908) 812-4345.Contact Information
Primary practice address
555 Willard Ave Eye Clinic
Newington CT 06111-2631
Phone: (908) 812-4345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2965 | Connecticut |
Profile Details
| NPI number | 1669843462 |
|---|---|
| LBN Legal business name | Kelleman, Michael David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2015 |
| Last updated | Aug 15th, 2022 - about 4 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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