Prudhomme, Jeremy Earl
Prudhomme, Jeremy Earl is an individual health care provider with primary practice located at 495 Union St Ste 1082 , Waterbury CT 06706-1285. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Prudhomme, Jeremy Earl can be contacted via phone (203) 591-8353.Contact Information
Primary practice address
495 Union St Ste 1082
Waterbury CT 06706-1285
Phone: (203) 591-8353
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2725 | Connecticut |
Profile Details
| NPI number | 1518151182 |
|---|---|
| LBN Legal business name | Prudhomme, Jeremy Earl |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2007 |
| Last updated | Aug 28th, 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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