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Contact Information

KATHLEEN G DOMEK
150 BARNUM AVENUE CUT OFF
STRATFORD, CT06614
 Phone: 203-502-7637
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for KATHLEEN G DOMEK · (Female)

NPI Number 1093176141
Status Active
Credentials
Entity Individual
Enumeration date 03/17/2016
Last updated 03/17/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # CT 001614
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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