Debaets, Myriam I

Debaets, Myriam I is an individual health care provider with primary practice located at 276 Montauk Ave , New London CT 06320-4727. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Debaets, Myriam I can be contacted via phone (860) 443-7907.

Contact Information

Primary practice address
276 Montauk Ave New London CT 06320-4727
Phone: (860) 443-7907
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 048342 Connecticut

Profile Details

NPI number 1649331919
LBN Legal business name Debaets, Myriam I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Mar 18th, 2013 - about 11 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 1649331919 NPPES
Connecticut MEDICAID 1649331919
Connecticut Other D400012863

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