Banever, Thomas Clark
Banever, Thomas Clark is an sole proprietor health care provider with primary practice located at 100 Retreat Ave Suite 808, Hartford CT 06106-2528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Banever, Thomas Clark can be contacted via phone (860) 249-9189.Contact Information
Primary practice address
100 Retreat Ave Suite 808
Hartford CT 06106-2528
Phone: (860) 249-9189
Fax: (860) 249-9180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 016245 | Connecticut |
Profile Details
| NPI number | 1992799498 |
|---|---|
| LBN Legal business name | Banever, Thomas Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1992799498 | NPPES |
| Connecticut | MEDICAID | 00162452 |
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