Casillas-Romero, Sergio R

Casillas-Romero, Sergio R is an individual health care provider with primary practice located at 12 Case St Suite 313, Norwich CT 06360-2222. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Casillas-Romero, Sergio R can be contacted via phone (860) 204-9126.

Contact Information

Primary practice address
12 Case St Suite 313 Norwich CT 06360-2222
Phone: (860) 204-9126
Fax: (860) 204-9146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 41831 Connecticut
Allopathic & Osteopathic Physicians / Surgery 208600000X 41831 Connecticut

Profile Details

NPI number 1417035338
LBN Legal business name Casillas-Romero, Sergio R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Oct 30th, 2015 - about 10 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 1417035338 NPPES
Connecticut Other 3V1171 HEALTHNET
Connecticut Other 010041831CT02 HEALTHNET
Connecticut MEDICAID 1417035338 HEALTHNET

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