Mann, Brian G
Mann, Brian G is an individual health care provider with primary practice located at 909 Hartford Tpke Unit D2, Waterford CT 06385-4267. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mann, Brian G can be contacted via phone (860) 442-0380.Contact Information
Primary practice address
909 Hartford Tpke Unit D2
Waterford CT 06385-4267
Phone: (860) 442-0380
Fax: (860) 442-0831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2229 | Connecticut |
Profile Details
| NPI number | 1942301858 |
|---|---|
| LBN Legal business name | Mann, Brian G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Dec 17th, 2008 - about 18 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 | 1942301858 | NPPES |
| Connecticut | Other | 564723 | CONNECTICARE |
| Connecticut | Other | P462855 | CONNECTICARE |
| Connecticut | Other | 0V2114 | CONNECTICARE |
| Connecticut | Other | 090002229CT02 | CONNECTICARE |
| Connecticut | Other | 8744282 | CONNECTICARE |
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