Dane, Michael Andrew

Dane, Michael Andrew is an individual health care provider with primary practice located at 1579 Straits Tpke , Middlebury CT 06762-1835. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dane, Michael Andrew can be contacted via phone (203) 577-2002.

Contact Information

Primary practice address
1579 Straits Tpke Middlebury CT 06762-1835
Phone: (203) 577-2002
Fax: (203) 577-2060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 006422 Connecticut

Profile Details

NPI number 1699772475
LBN Legal business name Dane, Michael Andrew
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Nov 3rd, 2008 - about 16 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 1699772475 NPPES
Connecticut MEDICAID 004207389
Connecticut Other 080006422CT07
Connecticut Other 650016540

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