Brandt, Debra Schwab

Brandt, Debra Schwab is an individual health care provider with primary practice located at 200 Kennedy Dr , Torrington CT 06790-3096. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Brandt, Debra Schwab can be contacted via phone (860) 482-5384.

Contact Information

Primary practice address
200 Kennedy Dr Torrington CT 06790-3096
Phone: (860) 482-5384
Fax: (860) 496-4951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 000418 Connecticut

Profile Details

NPI number 1710918032
LBN Legal business name Brandt, Debra Schwab
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710918032 NPPES
Connecticut Other 000418 LICENSE
Connecticut MEDICAID 001004184 LICENSE
Connecticut Other 06-1088532 LICENSE
Connecticut Other 23402 LICENSE

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