Guest, Andrew D

Guest, Andrew D is an individual health care provider with primary practice located at 171 Liberty St , Southington CT 06489. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Guest, Andrew D can be contacted via phone (860) 628-0343.

Contact Information

Primary practice address
171 Liberty St Southington CT 06489
Fax: (860) 628-0543
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21400 Connecticut

Profile Details

NPI number 1063445161
LBN Legal business name Guest, Andrew D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Dec 3rd, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063445161 NPPES
Connecticut MEDICAID 001214006

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