Youngquist, Patricia A

Youngquist, Patricia A is an individual health care provider with primary practice located at 185 Boston Post Rd , Orange CT 06477-3200. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Youngquist, Patricia A can be contacted via phone (205) 795-5000.

Contact Information

Primary practice address
185 Boston Post Rd Orange CT 06477-3200
Fax: (203) 795-6685
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2200 Connecticut

Profile Details

NPI number 1972650430
LBN Legal business name Youngquist, Patricia A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Mar 25th, 2020 - about 6 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 1972650430 NPPES
Connecticut Other 118229 EYEMED
Connecticut Other 687443 EYEMED
Connecticut Other 090002200CT15 EYEMED
Connecticut Other 2V6044 EYEMED
Connecticut Other 364566194 EYEMED
Connecticut Other 919749 EYEMED
Connecticut Other 11466814 EYEMED
Connecticut MEDICAID 411-8619 EYEMED

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