Axtmayer, Alfredo Luis
Axtmayer, Alfredo Luis is an sole proprietor health care provider with primary practice located at 8 Research Pkwy , Wallingford CT 06492-1929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Axtmayer, Alfredo Luis can be contacted via phone (203) 265-9122.Contact Information
Primary practice address
8 Research Pkwy
Wallingford CT 06492-1929
Phone: (203) 265-9122
Fax: (203) 265-9159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 022215 | Connecticut |
Profile Details
| NPI number | 1598747602 |
|---|---|
| LBN Legal business name | Axtmayer, Alfredo Luis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Mar 30th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598747602 | NPPES |
| Connecticut | Other | 2V3535 | HEALTHNET ID # |
| Connecticut | MEDICAID | 004239176 | HEALTHNET ID # |
| Connecticut | Other | 010022215CT07 | HEALTHNET ID # |
| Connecticut | Other | 0045604 | HEALTHNET ID # |
| Connecticut | Other | P1279064 | HEALTHNET ID # |
| Connecticut | Other | 783182 | HEALTHNET ID # |
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