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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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