Illick, Christopher Dunbar
Illick, Christopher Dunbar is an individual health care provider with primary practice located at 1224 Main St , Branford CT 06405-3778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Illick, Christopher Dunbar can be contacted via phone (203) 481-0315.Contact Information
Primary practice address
1224 Main St
Branford CT 06405-3778
Phone: (203) 481-0315
Fax: (203) 481-6788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 043283 | Connecticut |
Profile Details
| NPI number | 1609836998 |
|---|---|
| LBN Legal business name | Illick, Christopher Dunbar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jan 12th, 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 | 1609836998 | NPPES |
| Connecticut | MEDICAID | 001432830 |
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