Marino, Louis John

Marino, Louis John is an individual health care provider with primary practice located at 204 N Colony St , Wallingford CT 06492-3656. He recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as his primary health care specialty. Marino, Louis John can be contacted via phone (203) 284-3737.

Contact Information

Primary practice address
204 N Colony St Wallingford CT 06492-3656
Phone: (203) 284-3737
Fax: (203) 284-1300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X 0315275000 Connecticut

Profile Details

NPI number 1023134665
LBN Legal business name Marino, Louis John
Credentials OCULARIST OCULAR PRO
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023134665 NPPES
Connecticut Other 12DME0303CT01 ANTHEM BLUE CROSS AND BLU
Connecticut MEDICAID 004092201 ANTHEM BLUE CROSS AND BLU

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