Davila, Miguel
Davila, Miguel is an sole proprietor health care provider with primary practice located at 112 South Whitney St , Hartford CT 06105. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Davila, Miguel can be contacted via phone (860) 247-5930.Contact Information
Primary practice address
112 South Whitney St
Hartford CT 06105
Phone: (860) 247-5930
Fax: (860) 232-3266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 007741 | Connecticut |
Profile Details
| NPI number | 1811051055 |
|---|---|
| LBN Legal business name | Davila, Miguel |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Oct 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811051055 | NPPES |
| Connecticut | MEDICAID | 002077411 |
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