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Contact Information

JOEL ZUCKERBRAUN ODPL
8 NORTH MAIN STREET
JEWETT CITY, CT06351
 Phone: 860-376-2848
 Fax: 860-376-4821
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JOEL ZUCKERBRAUN ODPL

NPI Number 1699953729
LBN Legal business name JOEL ZUCKERBRAUN ODPL
Authorized official JOEL ZUCKERBRAUN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2008
Last updated 01/31/2008 - About 18 years ago
Identifiers
CT License # 1014
CT License # 561
CT Medicaid 004194461
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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