Brackett, Mary Jane Moran

Brackett, Mary Jane Moran is an sole proprietor health care provider with primary practice located at 45 Litchfield Rd , Watertown CT 06795-1944. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brackett, Mary Jane Moran can be contacted via phone (860) 274-5408.

Contact Information

Primary practice address
45 Litchfield Rd Watertown CT 06795-1944
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 021837 Connecticut

Profile Details

NPI number 1871710095
LBN Legal business name Brackett, Mary Jane Moran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Sep 6th, 2007 - about 19 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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