Gerowe, Harry A

Gerowe, Harry A is an sole proprietor health care provider with primary practice located at 900 Watertown Ave , Waterbury CT 06708-2011. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Gerowe, Harry A can be contacted via phone (203) 756-8984.

Contact Information

Primary practice address
900 Watertown Ave Waterbury CT 06708-2011
Phone: (203) 756-8984
Fax: (203) 756-8984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000118 Connecticut
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 000118 Connecticut

Profile Details

NPI number 1265631923
LBN Legal business name Gerowe, Harry A
Credentials MS,LADC,CCS,CCDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2007
Last updated Oct 25th, 2013 - about 11 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 1265631923 NPPES
Connecticut Other CAC - 588 CONNECTICUT CERTIFICATION BOARD
Connecticut Other CCS - 588 CONNECTICUT CERTIFICATION BOARD
Connecticut Other 000118 CONNECTICUT CERTIFICATION BOARD
Connecticut Other CCDP - 4884 CONNECTICUT CERTIFICATION BOARD

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