Banasiak, Kenneth J
Banasiak, Kenneth J is an individual health care provider with primary practice located at 282 Washington St , Hartford CT 06106-3322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Banasiak, Kenneth J can be contacted via phone (860) 545-9850.Contact Information
Primary practice address
282 Washington St
Hartford CT 06106-3322
Phone: (860) 545-9850
Fax: (860) 545-8812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 035451 | Connecticut |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 017898 | Maine |
Profile Details
| NPI number | 1205818929 |
|---|---|
| LBN Legal business name | Banasiak, Kenneth J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Sep 9th, 2022 - about 2 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 | 1205818929 | NPPES |
| New Hampshire | MEDICAID | 30208101 | |
| New Hampshire | MEDICAID | 001354513 | |
| New Hampshire | MEDICAID | 433063199 |
Popular Providers
-
Fisher, Daniel G.
282 Washington St , Hartford CT 06106-3322 -
Pierce, Richard William
282 Washington St Medical Education, 4H, Hartford CT 06106 -
Nett, Sholeen T
282 Washington St , Hartford CT 06106-3322 -
Zucker, Aaron
282 Washington St , Hartford CT 06106-3322 -
Cowl, Allison S
282 Washington St , Hartford CT 06106-3322 -
Melendez, Elliot
282 Washington Street Pediatric Intensive Care Unit, Hartford CT 06106 -
Salonia, Rosanne
282 Washington St , Hartford CT 06106-3322 -
Guardenier, Andrea Plummer
282 Washington St , Hartford CT 06106-3322