Misiewicz, Thomas Paul
Misiewicz, Thomas Paul is an individual health care provider with primary practice located at 25 North Main Street , Enfield CT 06082-1289. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Misiewicz, Thomas Paul can be contacted via phone (860) 745-8055.Contact Information
Primary practice address
25 North Main Street
Enfield CT 06082-1289
Phone: (860) 745-8055
Fax: (860) 745-2355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 000971 | Connecticut |
Profile Details
| NPI number | 1437201076 |
|---|---|
| LBN Legal business name | Misiewicz, Thomas Paul |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437201076 | NPPES |
| Other | 0519191 | AETNA | |
| Other | 0596650001 | AETNA | |
| Other | 738255 | AETNA | |
| Other | UPIN 27681 | AETNA | |
| Other | 0005971059 | AETNA | |
| Other | UPIN 27681 | AETNA | |
| Other | 09000971CT01 | AETNA | |
| Other | 11220239 | AETNA |
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