Kirkland, John

Kirkland, John is an sole proprietor health care provider with primary practice located at 3017 Main St , Stratford CT 06614-4977. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kirkland, John can be contacted via phone (203) 375-9338.

Contact Information

Primary practice address
3017 Main St Stratford CT 06614-4977
Fax: (203) 380-8147
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 017765 Connecticut

Profile Details

NPI number 1144289513
LBN Legal business name Kirkland, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2006
Last updated May 31st, 2013 - about 11 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 1144289513 NPPES
Connecticut MEDICAID 001177658

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