Mckiernan, Edward G
Mckiernan, Edward G is an individual health care provider with primary practice located at 115 Technology Dr Ste A200, Trumbull CT 06611-6338. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mckiernan, Edward G can be contacted via phone (203) 268-5801.Contact Information
Primary practice address
115 Technology Dr Ste A200
Trumbull CT 06611-6338
Phone: (203) 268-5801
Fax: (203) 452-3688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 004917 | Connecticut |
Profile Details
| NPI number | 1497866107 |
|---|---|
| LBN Legal business name | Mckiernan, Edward G |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Oct 14th, 2010 - about 15 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 | 1497866107 | NPPES |
| Connecticut | Other | 3918034 | AETNA PIN |
| Connecticut | Other | 2V5288 | AETNA PIN |
| Connecticut | Other | 3515548 | AETNA PIN |
| Connecticut | Other | A2983697 | AETNA PIN |
| Connecticut | Other | 080004917CT04 | AETNA PIN |
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