Krenicky, Peter T
Krenicky, Peter T is an sole proprietor health care provider with primary practice located at 477 Connecticut Blvd Ste 205, East Hartford CT 06108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Krenicky, Peter T can be contacted via phone (860) 528-9645.Contact Information
Primary practice address
477 Connecticut Blvd Ste 205
East Hartford CT 06108
Phone: (860) 528-9645
Fax: (860) 528-6366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 13523 | Connecticut |
Profile Details
| NPI number | 1497795900 |
|---|---|
| LBN Legal business name | Krenicky, Peter T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | May 6th, 2010 - 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 | 1497795900 | NPPES |
| Connecticut | MEDICAID | 001135235 | |
| Connecticut | Other | 010013523CT | |
| Connecticut | Other | 013523 |
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