Ghecas, Dimitri
Ghecas, Dimitri is an individual health care provider with primary practice located at 11 Old Park Lane , New Milford CT 06776. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ghecas, Dimitri can be contacted via phone (860) 355-1149.Contact Information
Primary practice address
11 Old Park Lane
New Milford CT 06776
Phone: (860) 355-1149
Fax: (860) 355-5957
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 00735 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 022592 | New York |
Profile Details
NPI number | 1174595490 |
---|---|
LBN Legal business name | Ghecas, Dimitri |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2006 |
Last updated | Jun 18th, 2024 - about 5 months 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 | 1174595490 | NPPES |
Connecticut | Other | 00735 | CT LICENSE |
Connecticut | Other | P2737999 | CT LICENSE |
Connecticut | Other | 2V3651 | CT LICENSE |
Connecticut | Other | 713282 | CT LICENSE |
Connecticut | Other | 290000735CT01 | CT LICENSE |
Connecticut | Other | P00006823 | CT LICENSE |
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