Hart, Lance R

Hart, Lance R is an sole proprietor health care provider with primary practice located at 1 S Main St #2, Branford CT 06405-3872. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hart, Lance R can be contacted via phone (203) 488-3078.

Contact Information

Primary practice address
1 S Main St #2 Branford CT 06405-3872
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 000576 Connecticut

Profile Details

NPI number 1578558573
LBN Legal business name Hart, Lance R
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1578558573 NPPES
Connecticut Other 060000576CT01 ANTHEM

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