Gjertson, Carl K

Gjertson, Carl K is an individual health care provider with primary practice located at 263 Farmington Ave Urology, Farmington CT 06030-6227. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Urology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Gjertson, Carl K can be contacted via phone (860) 679-4100.

Contact Information

Primary practice address
263 Farmington Ave Urology Farmington CT 06030-6227
Phone: (860) 679-4100
Fax: (860) 679-1390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 045171 Connecticut
Allopathic & Osteopathic Physicians / Urology 208800000X 045171 Connecticut

Profile Details

NPI number 1063472017
LBN Legal business name Gjertson, Carl K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 11th, 2022 - about 2 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 1063472017 NPPES
Connecticut MEDICAID 1063472017

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