Brandt, Douglas

Brandt, Douglas is an individual health care provider with primary practice located at 20 Research Pkwy , Old Saybrook CT 06475-4214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Brandt, Douglas can be contacted via phone (800) 370-3651.

Contact Information

Primary practice address
20 Research Pkwy Old Saybrook CT 06475-4214
Phone: (800) 370-3651
Fax: (860) 510-0020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 17778 South Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD13289 Rhode Island
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 025691 Connecticut

Profile Details

NPI number 1487742243
LBN Legal business name Brandt, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Feb 20th, 2024 - about 9 months 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 1487742243 NPPES
Other 1256917CL CLINIC NUMBER
MEDICAID 4024972 CLINIC NUMBER
MEDICAID 4014679 CLINIC NUMBER

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