Kisiel, Stanley Chester
Kisiel, Stanley Chester is an sole proprietor health care provider with primary practice located at 416 Highland Ave Building B, Suite 6, Cheshire CT 06410-2527. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Kisiel, Stanley Chester can be contacted via phone (860) 595-6363.Contact Information
Primary practice address
416 Highland Ave Building B, Suite 6
Cheshire CT 06410-2527
Phone: (860) 595-6363
Fax: (860) 426-8661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 001187 | Connecticut |
Profile Details
| NPI number | 1285721696 |
|---|---|
| LBN Legal business name | Kisiel, Stanley Chester |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Apr 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285721696 | NPPES |
| Connecticut | Other | CTGA000438 B000602 | SAGA GRP |
| Connecticut | MEDICAID | 004052015 | SAGA GRP |
| Connecticut | Other | 77ABH0021CT01 | SAGA GRP |
| Connecticut | Other | ANC1482 | SAGA GRP |
| Connecticut | Other | 269952 | SAGA GRP |
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