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
Health care specialties
Specialty | Code | License # | 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 14 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 | 1497750152 | NPPES |
Connecticut | Other | 43002 | CT LICENSE 43002 |
Connecticut | MEDICAID | 2102358 | CT LICENSE 43002 |
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