Kutner, Michael Stewart

Kutner, Michael Stewart is an individual health care provider with primary practice located at 267 Grant St , Bridgeport CT 06610-2805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kutner, Michael Stewart can be contacted via phone (203) 384-3000.

Contact Information

Primary practice address
267 Grant St Bridgeport CT 06610-2805
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20552 Oklahoma
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 66745 Connecticut

Profile Details

NPI number 1245282896
LBN Legal business name Kutner, Michael Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Dec 3rd, 2020 - about 4 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 1245282896 NPPES
Other 731451967001 BCBS GRP BILLING #
MEDICAID 100101160A BCBS GRP BILLING #

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