Kruglov, Michael

Kruglov, Michael is an individual health care provider with primary practice located at 22 Tompkins St , Waterbury CT 06708-1458. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Kruglov, Michael can be contacted via phone (203) 419-0381.

Contact Information

Primary practice address
22 Tompkins St Waterbury CT 06708-1458
Phone: (203) 419-0381
Fax: (203) 419-0389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 000291 Connecticut

Profile Details

NPI number 1831320191
LBN Legal business name Kruglov, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2009
Last updated Aug 5th, 2009 - about 16 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 1831320191 NPPES
Connecticut MEDICAID 004190328

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