Dwenger, Randall R

Dwenger, Randall R is an individual health care provider with primary practice located at 187 S Canaan Rd , Canaan CT 06018-2544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Dwenger, Randall R can be contacted via phone (860) 824-1397.

Contact Information

Primary practice address
187 S Canaan Rd Canaan CT 06018-2544
Fax: (888) 690-2727
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 183297 New York

Profile Details

NPI number 1649291980
LBN Legal business name Dwenger, Randall R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Jun 4th, 2021 - 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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