Killory, Brendan Dyer
Killory, Brendan Dyer is an sole proprietor health care provider with primary practice located at 85 Seymour St Suite 709, Hartford CT 06106-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Killory, Brendan Dyer can be contacted via phone (860) 696-2290.Contact Information
Primary practice address
85 Seymour St Suite 709
Hartford CT 06106-5501
Phone: (860) 696-2290
Fax: (860) 696-2280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 80789 | Arizona |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 049554 | Connecticut |
Profile Details
| NPI number | 1043490097 |
|---|---|
| LBN Legal business name | Killory, Brendan Dyer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Dec 12th, 2011 - about 14 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 | 1043490097 | NPPES |
| Arizona | Other | 80789 | TRAINING PERMIT |
| Arizona | Other | 7432716 | TRAINING PERMIT |
| Arizona | Other | 049554 | TRAINING PERMIT |
| Arizona | MEDICAID | 1043490097 | TRAINING PERMIT |
| Arizona | Other | P4362821 | TRAINING PERMIT |
| Arizona | Other | 7432716 | TRAINING PERMIT |
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