Barry, Declan T
Barry, Declan T is an individual health care provider with primary practice located at 495 Congress Ave , New Haven CT 06519-1312. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Barry, Declan T can be contacted via phone (203) 781-4600.Contact Information
Primary practice address
495 Congress Ave
New Haven CT 06519-1312
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 2552 | Connecticut |
Profile Details
NPI number | 1679906911 |
---|---|
LBN Legal business name | Barry, Declan T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2013 |
Last updated | Jan 24th, 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 | 1679906911 | NPPES |
Connecticut | MEDICAID | 004041000 | |
Connecticut | MEDICAID | 004082260 | |
Connecticut | MEDICAID | 004082286 | |
Connecticut | MEDICAID | 008022626 | |
Connecticut | MEDICAID | 008048393 | |
Connecticut | MEDICAID | 008003745 | |
Connecticut | MEDICAID | 008022622 | |
Connecticut | MEDICAID | 008001325 | |
Connecticut | MEDICAID | 500000315 |
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