Dettmer, Karen
Dettmer, Karen is an individual health care provider with primary practice located at 20 Felicity Ln , Torrington CT 06790-6101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Dettmer, Karen can be contacted via phone (860) 489-4144.Contact Information
Primary practice address
20 Felicity Ln
Torrington CT 06790-6101
Phone: (860) 489-4144
Fax: (860) 489-4412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 038261 | Connecticut |
Profile Details
| NPI number | 1154363430 |
|---|---|
| LBN Legal business name | Dettmer, Karen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Mar 3rd, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154363430 | NPPES |
| Connecticut | MEDICAID | 001382613 |
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