Mauks, Kathleen S.
Mauks, Kathleen S. is an sole proprietor health care provider with primary practice located at 57 North St Suite # 311, Danbury CT 06810-5660. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mauks, Kathleen S. can be contacted via phone (203) 743-0100.Contact Information
Primary practice address
57 North St Suite # 311
Danbury CT 06810-5660
Phone: (203) 743-0100
Fax: (203) 794-1851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 014605 | Connecticut |
Profile Details
| NPI number | 1629064035 |
|---|---|
| LBN Legal business name | Mauks, Kathleen S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Oct 1st, 2012 - about 12 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 | 1629064035 | NPPES |
| Connecticut | Other | 010014605CT01 | BC/BS |
| Connecticut | MEDICAID | 001146059 | BC/BS |
| Connecticut | Other | 040045 | BC/BS |
| Connecticut | Other | 0078385 | BC/BS |
| Connecticut | Other | P476668 | BC/BS |
| Connecticut | Other | 4283743 | BC/BS |
| Connecticut | Other | 714605 | BC/BS |
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