Durocher, Richard Wilbrod

Durocher, Richard Wilbrod is an sole proprietor health care provider with primary practice located at 20 Washington Ave Ste 212, North Haven CT 06473-2343. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Durocher, Richard Wilbrod can be contacted via phone (203) 239-1119.

Contact Information

Primary practice address
20 Washington Ave Ste 212 North Haven CT 06473-2343
Phone: (203) 239-1119
Fax: (203) 234-1832
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 000709 Connecticut
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 2097 Massachusetts
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 00709 Connecticut

Profile Details

NPI number 1306820956
LBN Legal business name Durocher, Richard Wilbrod
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Feb 20th, 2015 - about 9 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 1306820956 NPPES
Connecticut Other 11066538 MULTIPLAN
Connecticut Other 80050 MULTIPLAN
Connecticut Other CPD# 1392050 MULTIPLAN
Connecticut Other P1271789 MULTIPLAN
Connecticut Other 0V3855 MULTIPLAN
Connecticut Other 007090 MULTIPLAN
Connecticut Other 2704187 MULTIPLAN
Connecticut Other 008003227 MULTIPLAN
Connecticut Other 030000709CT01 MULTIPLAN
Connecticut Other 103244500 MULTIPLAN
Connecticut Other C01740 MULTIPLAN
Connecticut Other 2110284 MULTIPLAN
Connecticut Other 60353065001 MULTIPLAN
Connecticut MEDICAID 004191277 MULTIPLAN

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