Marin, Andre Jerome

Marin, Andre Jerome is an individual health care provider with primary practice located at 17 Cypress Ln , Groton CT 06340-3004. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Marin, Andre Jerome can be contacted via phone (216) 256-3186.

Contact Information

Primary practice address
17 Cypress Ln Groton CT 06340-3004
Phone: (216) 256-3186
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1649578915
LBN Legal business name Marin, Andre Jerome
Credentials SUB IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2011
Last updated Mar 10th, 2011 - about 14 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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