Doran, James R

Doran, James R is an individual health care provider with primary practice located at 629 Middle Tpke E , Manchester CT 06040-3731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Doran, James R can be contacted via phone (860) 649-6900.

Contact Information

Primary practice address
629 Middle Tpke E Manchester CT 06040-3731
Phone: (860) 649-6900
Fax: (860) 647-0469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036123550 Illinois

Profile Details

NPI number 1942249610
LBN Legal business name Doran, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 30th, 2022 - about 3 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 1942249610 NPPES
Mississippi MEDICAID 03704381

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