Ford, Peter A

Ford, Peter A is an individual health care provider with primary practice located at 11 South Rd Ste 130 , Farmington CT 06032-2483. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Ford, Peter A can be contacted via phone (860) 224-5433.

Contact Information

Primary practice address
11 South Rd Ste 130 Farmington CT 06032-2483
Phone: (860) 224-5433
Fax: (860) 224-5933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 001918 Connecticut

Profile Details

NPI number 1548257090
LBN Legal business name Ford, Peter A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Feb 26th, 2018 - about 7 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 1548257090 NPPES
Connecticut MEDICAID 1548257090
Connecticut Other 191800
Connecticut Other 400001918CT05

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