Drennan, Peter John

Drennan, Peter John is an individual health care provider with primary practice located at 701 Enfield Street , Enfield CT 06082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Drennan, Peter John can be contacted via phone (860) 741-6058.

Contact Information

Primary practice address
701 Enfield Street Enfield CT 06082
Phone: (860) 741-6058
Fax: (860) 253-9326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 64560 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 54104 Massachusetts

Profile Details

NPI number 1629043625
LBN Legal business name Drennan, Peter John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Dec 30th, 2019 - about 5 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 1629043625 NPPES
Massachusetts MEDICAID 110051774A
Massachusetts MEDICAID 003116242
Massachusetts MEDICAID 64994127

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