Hammond, Brent Deangelo

Hammond, Brent Deangelo is an individual health care provider with primary practice located at 159 Trout Ave , Groton CT 06349. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Hammond, Brent Deangelo can be contacted via phone (860) 649-6451.

Contact Information

Primary practice address
159 Trout Ave Groton CT 06349
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1033604244
LBN Legal business name Hammond, Brent Deangelo
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2018
Last updated Jun 29th, 2018 - about 6 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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