Makuchowski, Simon Matthew

Makuchowski, Simon Matthew is an sole proprietor health care provider with primary practice located at 4 Oakridge Dr , Gales Ferry CT 06335-1111. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Makuchowski, Simon Matthew can be contacted via phone (609) 731-5613.

Contact Information

Primary practice address
4 Oakridge Dr Gales Ferry CT 06335-1111
Phone: (609) 731-5613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1356633598
LBN Legal business name Makuchowski, Simon Matthew
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2011
Last updated May 6th, 2011 - 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.

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