Elwell, Robert W.

Elwell, Robert W. is an individual health care provider with primary practice located at 22 Masonic Ave. 1St Flr, Wallingford CT 06492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Elwell, Robert W. can be contacted via phone (203) 679-5900.

Contact Information

Primary practice address
22 Masonic Ave. 1St Flr Wallingford CT 06492
Phone: (203) 679-5900
Fax: (203) 679-6873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21753 Connecticut

Profile Details

NPI number 1366439036
LBN Legal business name Elwell, Robert W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Jan 20th, 2010 - about 14 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 1366439036 NPPES
Connecticut MEDICAID 1217538
Connecticut Other 4239676
Connecticut Other 010021753CT01
Connecticut Other 061043813002
Connecticut Other 021753
Connecticut Other OR4598
Connecticut Other P400371

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