Bishop, Todd M

Bishop, Todd M is an individual health care provider with primary practice located at 80 South Main St , Middletown CT 06457. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Bishop, Todd M can be contacted via phone (860) 358-6878.

Contact Information

Primary practice address
80 South Main St Middletown CT 06457
Phone: (860) 358-6878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 043002 Connecticut
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 229835 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 229835 Massachusetts

Profile Details

NPI number 1497750152
LBN Legal business name Bishop, Todd M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Oct 15th, 2010 - about 15 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 1497750152 NPPES
Connecticut Other 43002 CT LICENSE 43002
Connecticut MEDICAID 2102358 CT LICENSE 43002

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