Kofos, Nicholas Matthew
Kofos, Nicholas Matthew is an sole proprietor health care provider with primary practice located at 180 Bolton St , Marlborough MA 01752-3934. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kofos, Nicholas Matthew can be contacted via phone (508) 485-0736.Contact Information
Primary practice address
180 Bolton St
Marlborough MA 01752-3934
Phone: (508) 485-0736
Fax: (508) 481-7532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3264 | Massachusetts |
Profile Details
| NPI number | 1447244637 |
|---|---|
| LBN Legal business name | Kofos, Nicholas Matthew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | May 7th, 2012 - about 14 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 | 1447244637 | NPPES |
| Massachusetts | Other | 772575 | TUFTS |
| Massachusetts | MEDICAID | 0392227 | TUFTS |
| Massachusetts | Other | U47255 | TUFTS |
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