Lavalette, John Howard
Lavalette, John Howard is an individual health care provider with primary practice located at 31 Sycamore Rd , Glastonbury CT 06033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lavalette, John Howard can be contacted via phone (860) 721-7561.Contact Information
Primary practice address
31 Sycamore Rd
Glastonbury CT 06033
Phone: (860) 721-7561
Fax: (860) 721-9199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 037023 | Connecticut |
Profile Details
| NPI number | 1154373405 |
|---|---|
| LBN Legal business name | Lavalette, John Howard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1154373405 | NPPES |
| Connecticut | MEDICAID | 00137023800 | |
| Connecticut | Other | 00948R | |
| Connecticut | Other | 0370230688 | |
| Connecticut | Other | 010037023CT01 | |
| Connecticut | Other | OV8907 | |
| Connecticut | Other | P1102930 |
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