Conter, Kevin R.

Conter, Kevin R. is an sole proprietor health care provider with primary practice located at 200 Main St , Manchester CT 06042-3581. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Conter, Kevin R. can be contacted via phone (860) 646-9660.

Contact Information

Primary practice address
200 Main St Manchester CT 06042-3581
Phone: (860) 646-9660
Fax: (860) 643-4074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 00963 Connecticut

Profile Details

NPI number 1851475420
LBN Legal business name Conter, Kevin R.
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Feb 7th, 2011 - about 14 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 1851475420 NPPES
Connecticut MEDICAID 004053344
Connecticut Other 290866
Connecticut Other 4210594
Connecticut Other 61-58158
Connecticut Other P584471
Connecticut Other 055596
Connecticut Other 060000963CT01
Connecticut Other 153122
Connecticut Other 79070

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