Pendleton, Jonathan
Pendleton, Jonathan is an individual health care provider with primary practice located at 184 East St Grove Hill Medical Center, Plainville CT 06062-2913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pendleton, Jonathan can be contacted via phone (860) 747-5766.Contact Information
Primary practice address
184 East St Grove Hill Medical Center
Plainville CT 06062-2913
Phone: (860) 747-5766
Fax: (860) 747-2028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 022201 | Connecticut |
Profile Details
| NPI number | 1568464212 |
|---|---|
| LBN Legal business name | Pendleton, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jul 9th, 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 | 1568464212 | NPPES |
| Connecticut | Other | P369805 | OXFORD |
| Connecticut | MEDICAID | 004215324 | OXFORD |
| Connecticut | Other | 1255448155 | OXFORD |
| Connecticut | Other | 135678 | OXFORD |
| Connecticut | Other | 5978401 | OXFORD |
| Connecticut | Other | 010022201CT01 | OXFORD |
| Connecticut | Other | 060031 | OXFORD |
| Connecticut | Other | 110116250 | OXFORD |
| Connecticut | Other | 477354 | OXFORD |
| Connecticut | MEDICAID | 001222017 | OXFORD |
| Connecticut | Other | 01022201 | OXFORD |
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