Hyde, Robert Nelson
Hyde, Robert Nelson is an individual health care provider with primary practice located at 111 New Haven Ave , Derby CT 06418-2197. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hyde, Robert Nelson can be contacted via phone (203) 736-9214.Contact Information
Primary practice address
111 New Haven Ave
Derby CT 06418-2197
Phone: (203) 736-9214
Fax: (203) 736-9172
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 023888 | Connecticut |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 023888 | Connecticut |
Profile Details
NPI number | 1902011885 |
---|---|
LBN Legal business name | Hyde, Robert Nelson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 13th, 2007 |
Last updated | Jan 26th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902011885 | NPPES |
Connecticut | Other | 07D0097603 | CLIA |
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