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Contact Information

BOUQUET MULLIGAN DEMAIO EYE PROFESSIONALS
600 FREE MASON DRIVE
ELIZABETHTOWN, PA17022
 Phone: 717-272-0581
 Fax: 717-274-5889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BOUQUET MULLIGAN DEMAIO EYE PROFESSIONALS · (Female)

NPI Number 1639506843
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2013
Last updated 10/02/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # OEG000209
  • PA Other BO867272 PTAN
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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