Avalos, Luis A.

Avalos, Luis A. is an individual health care provider with primary practice located at 47 Town St , Norwich CT 06360-2315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Avalos, Luis A. can be contacted via phone (860) 892-7042.

Contact Information

Primary practice address
47 Town St Norwich CT 06360-2315
Phone: (860) 892-7042
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 027349 Connecticut

Profile Details

NPI number 1073523106
LBN Legal business name Avalos, Luis A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jun 21st, 2012 - about 12 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 1073523106 NPPES
Connecticut MEDICAID 001273490

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