Chin, Mark T

Chin, Mark T is an individual health care provider with primary practice located at 99 E River Dr 5Th Floor, East Hartford CT 06108-3288. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chin, Mark T can be contacted via phone (860) 282-4133.

Contact Information

Primary practice address
99 E River Dr 5Th Floor East Hartford CT 06108-3288
Fax: (860) 289-0746
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 034313 Connecticut

Profile Details

NPI number 1205806791
LBN Legal business name Chin, Mark T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated May 9th, 2014 - 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 1205806791 NPPES
Connecticut MEDICAID 001343136

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