Kercado, Mia

Kercado, Mia is an individual health care provider with primary practice located at 1400 Farmington Ave , Bristol CT 06010-4701. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Kercado, Mia can be contacted via phone (860) 585-1156.

Contact Information

Primary practice address
1400 Farmington Ave Bristol CT 06010-4701
Fax: (860) 585-1160
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 1900 Connecticut

Profile Details

NPI number 1902673957
LBN Legal business name Kercado, Mia
Credentials LDO
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2023
Last updated Dec 11th, 2023 - about 3 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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