Hack, Evan R
Hack, Evan R is an individual health care provider with primary practice located at 120 Park Ln Suite A-101, New Milford CT 06776-2428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hack, Evan R can be contacted via phone (860) 355-8190.Contact Information
Primary practice address
120 Park Ln Suite A-101
New Milford CT 06776-2428
Phone: (860) 355-8190
Fax: (860) 355-3856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 029133 | Connecticut |
Profile Details
| NPI number | 1184621435 |
|---|---|
| LBN Legal business name | Hack, Evan R |
| Credentials | MEDICAL DOCTOR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jan 3rd, 2017 - about 7 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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