Licamele, Michael William

Licamele, Michael William is an individual health care provider with primary practice located at 35 Ontario St , Stratford CT 06615-7135. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Licamele, Michael William can be contacted via phone (203) 375-8000.

Contact Information

Primary practice address
35 Ontario St Stratford CT 06615-7135
Phone: (203) 375-8000
Fax: (800) 784-5430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 3893 Connecticut

Profile Details

NPI number 1366424715
LBN Legal business name Licamele, Michael William
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366424715 NPPES
Connecticut Other 3893 LICENSE

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