Roffer, Joel
Roffer, Joel is an sole proprietor health care provider with primary practice located at 38 Fenn Rd , Newington CT 06111-2212. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Roffer, Joel can be contacted via phone (860) 436-4410.Contact Information
Primary practice address
38 Fenn Rd
Newington CT 06111-2212
Phone: (860) 436-4410
Fax: (860) 436-4401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 768 | Connecticut |
Profile Details
| NPI number | 1902946957 |
|---|---|
| LBN Legal business name | Roffer, Joel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Mar 10th, 2022 - about 4 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 | 1902946957 | NPPES |
| Connecticut | MEDICAID | 004024238 |
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