Gensicki, Edward Stanley
Gensicki, Edward Stanley is an sole proprietor health care provider with primary practice located at 1812 Dixwell Ave , Hamden CT 06514-3105. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gensicki, Edward Stanley can be contacted via phone (203) 287-0336.Contact Information
Primary practice address
1812 Dixwell Ave
Hamden CT 06514-3105
Phone: (203) 287-0336
Fax: (203) 287-0387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | P00369 | Connecticut |
Profile Details
| NPI number | 1982632634 |
|---|---|
| LBN Legal business name | Gensicki, Edward Stanley |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Feb 15th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982632634 | NPPES |
| Connecticut | Other | 000369-7413 | CONNECTICARE |
| Connecticut | Other | 183481 | CONNECTICARE |
| Connecticut | Other | P778784 | CONNECTICARE |
| Connecticut | MEDICAID | 004067245 | CONNECTICARE |
| Connecticut | Other | 030000369CT01 | CONNECTICARE |
| Connecticut | Other | P00369 | CONNECTICARE |
| Connecticut | Other | 0V1575 | CONNECTICARE |
| Connecticut | Other | 4800009967 | CONNECTICARE |
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