D'Avella, John
D'Avella, John is an individual health care provider with primary practice located at 85 Seymour St Ste 900, Hartford CT 06106-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. D'Avella, John can be contacted via phone (860) 241-0700.Contact Information
Primary practice address
85 Seymour St Ste 900
Hartford CT 06106-5501
Phone: (860) 241-0700
Fax: (860) 525-7881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 017425 | Connecticut |
Profile Details
| NPI number | 1225137243 |
|---|---|
| LBN Legal business name | D'Avella, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Feb 11th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225137243 | NPPES |
| Connecticut | MEDICAID | 00117425900 |
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