David, Racquel
David, Racquel is an individual health care provider with primary practice located at 28 Crescent St Middlesex Hospital Dba Middlesex Hospital Physician Ser, Middletown CT 06457-3654. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. David, Racquel can be contacted via phone (860) 358-4720.Contact Information
Primary practice address
28 Crescent St Middlesex Hospital Dba Middlesex Hospital Physician Ser
Middletown CT 06457-3654
Phone: (860) 358-4720
Fax: (860) 358-6271
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 046061 | Connecticut |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 046061 | Connecticut |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | CT 046061 | Connecticut |
Profile Details
NPI number | 1477737021 |
---|---|
LBN Legal business name | David, Racquel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 18th, 2007 |
Last updated | May 10th, 2017 - about 7 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 | 1477737021 | NPPES |
Connecticut | Other | 046061 | CT LICENSE |
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