Holleck, Jurgen Ludwig

Holleck, Jurgen Ludwig is an individual health care provider with primary practice located at 950 Campbell Ave Vact Healthcare, West Haven CT 06516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Holleck, Jurgen Ludwig can be contacted via phone (203) 932-5711.

Contact Information

Primary practice address
950 Campbell Ave Vact Healthcare West Haven CT 06516
Phone: (203) 932-5711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 040023 Connecticut

Profile Details

NPI number 1811964257
LBN Legal business name Holleck, Jurgen Ludwig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Nov 25th, 2014 - about 10 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 1811964257 NPPES
Connecticut MEDICAID 001400233

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