Pendergast, John Joseph
Pendergast, John Joseph is an individual health care provider with primary practice located at 246 Federal Rd Unit D-12, Brookfield CT 06804-2647. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Pendergast, John Joseph can be contacted via phone (203) 775-3290.Contact Information
Primary practice address
246 Federal Rd Unit D-12
Brookfield CT 06804-2647
Phone: (203) 775-3290
Fax: (203) 775-6970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 000219 | Connecticut |
Profile Details
| NPI number | 1902962160 |
|---|---|
| LBN Legal business name | Pendergast, John Joseph |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 8th, 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.
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