Lane-Reticker, Alison
Lane-Reticker, Alison is an individual health care provider with primary practice located at 80 Seymour Street Hartford Hospital Medicine Dept, Hartford CT 06102-5037. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Lane-Reticker, Alison can be contacted via phone (860) 545-2876.Contact Information
Primary practice address
80 Seymour Street Hartford Hospital Medicine Dept
Hartford CT 06102-5037
Phone: (860) 545-2876
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 018012 | Connecticut |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 018012 | Connecticut |
Profile Details
NPI number | 1033103130 |
---|---|
LBN Legal business name | Lane-Reticker, Alison |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 2nd, 2005 |
Last updated | Apr 4th, 2012 - about 13 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 | 1033103130 | NPPES |
Connecticut | MEDICAID | 001180124 | |
Connecticut | MEDICAID | 1033103130 |
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