Kellogg, Michael F
Kellogg, Michael F is an individual health care provider with primary practice located at 1064 E Main St Suite 301, Meriden CT 06450-4898. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kellogg, Michael F can be contacted via phone (203) 634-3636.Contact Information
Primary practice address
1064 E Main St Suite 301
Meriden CT 06450-4898
Phone: (203) 634-3636
Fax: (203) 634-1972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 024875 | Connecticut |
Profile Details
| NPI number | 1437158672 |
|---|---|
| LBN Legal business name | Kellogg, Michael F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Dec 27th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437158672 | NPPES |
| Connecticut | MEDICAID | 0012487568 |
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