ELIZABETH FAGUE, Optician WATERFORD, CT

Contact Information

ELIZABETH FAGUE

155 WATERFORD PARKWAY N.
WATERFORD, CT 06385

Phone: 860-437-3748
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for ELIZABETH FAGUE · (Female)

NPI Number	`1538397419`
Status	Active
Credentials
Entity	Individual
Enumeration date	06/30/2009
Last updated	06/30/2009 - About 17 years ago
Sole proprietor ¹	Yes
Identifiers	CT License # 001497
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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