Gorecki, Richard T
Gorecki, Richard T is an sole proprietor health care provider with primary practice located at 1353 Boston Post Rd Ste 6, Madison CT 06443-3403. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gorecki, Richard T can be contacted via phone (203) 245-9202.Contact Information
Primary practice address
1353 Boston Post Rd Ste 6
Madison CT 06443-3403
Phone: (203) 245-9202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 000072 | Connecticut |
Profile Details
| NPI number | 1518964691 |
|---|---|
| LBN Legal business name | Gorecki, Richard T |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Dec 5th, 2007 - about 18 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 | 1518964691 | NPPES |
| Connecticut | MEDICAID | 004006656 |
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