Mort, Thomas Craig
Mort, Thomas Craig is an individual health care provider with primary practice located at 111 Founders Plz #300 C/O Ipms, East Hartford CT 06108-3212. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mort, Thomas Craig can be contacted via phone (860) 282-4022.Contact Information
Primary practice address
111 Founders Plz #300 C/O Ipms
East Hartford CT 06108-3212
Phone: (860) 282-4022
Fax: (860) 282-0170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 031463 | Connecticut |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 031463 | Connecticut |
Profile Details
| NPI number | 1811985310 |
|---|---|
| LBN Legal business name | Mort, Thomas Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Feb 29th, 2008 - about 16 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 | 1811985310 | NPPES |
| Connecticut | MEDICAID | 001314632 |
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