Pulaski, John Joseph
Pulaski, John Joseph is an sole proprietor health care provider with primary practice located at 625 Wolcott St , Waterbury CT 06705-1342. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Prosthetic/Orthotic Supplier. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Pulaski, John Joseph can be contacted via phone (203) 754-8339.Contact Information
Primary practice address
625 Wolcott St
Waterbury CT 06705-1342
Phone: (203) 754-8339
Fax: (203) 753-9030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 000910 | Connecticut |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 000910 | Connecticut |
Profile Details
| NPI number | 1104930619 |
|---|---|
| LBN Legal business name | Pulaski, John Joseph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Mar 26th, 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 | 1104930619 | NPPES |
| Connecticut | Other | 133167 | WELLCARE |
| Connecticut | Other | 115526 | WELLCARE |
| Connecticut | Other | P379072 | WELLCARE |
| Connecticut | Other | 0043160 | WELLCARE |
| Connecticut | Other | 090000910CT01 | WELLCARE |
| Connecticut | Other | 762224 | WELLCARE |
| Connecticut | Other | OV8953 | WELLCARE |
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