Medvecky, Michael John
Medvecky, Michael John is an individual health care provider with primary practice located at 800 Howard Ave Yale Physicians Building 1St Flr, New Haven CT 06519-1369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Medvecky, Michael John can be contacted via phone (203) 785-5656.Contact Information
Primary practice address
800 Howard Ave Yale Physicians Building 1St Flr
New Haven CT 06519-1369
Phone: (203) 785-5656
Fax: (203) 785-7132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 039676 | Connecticut |
Profile Details
| NPI number | 1649254079 |
|---|---|
| LBN Legal business name | Medvecky, Michael John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Dec 3rd, 2007 - about 17 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 | 1649254079 | NPPES |
| Connecticut | MEDICAID | 001396763 |
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