Maurer, Brian Thomas

Maurer, Brian Thomas is an sole proprietor health care provider with primary practice located at 155 Hazard Ave Suite 14, Enfield CT 06082-4580. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Maurer, Brian Thomas can be contacted via phone (860) 749-3169.

Contact Information

Primary practice address
155 Hazard Ave Suite 14 Enfield CT 06082-4580
Phone: (860) 749-3169
Fax: (860) 749-2670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000073 Connecticut

Profile Details

NPI number 1982672564
LBN Legal business name Maurer, Brian Thomas
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Sep 1st, 2013 - about 11 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 1982672564 NPPES
Connecticut MEDICAID 008036364

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