Peracchio, Paul C
Peracchio, Paul C is an individual health care provider with primary practice located at 945 Main St Suite 310, Manchester CT 06040-6064. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Peracchio, Paul C can be contacted via phone (860) 647-9926.Contact Information
Primary practice address
945 Main St Suite 310
Manchester CT 06040-6064
Phone: (860) 647-9926
Fax: (860) 645-7723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7708 | Connecticut |
Profile Details
| NPI number | 1316908569 |
|---|---|
| LBN Legal business name | Peracchio, Paul C |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316908569 | NPPES |
| Connecticut | Other | P3603721 | OXFORD |
| Connecticut | Other | 020007708CT01 | OXFORD |
| Connecticut | Other | 762391 | OXFORD |
| Connecticut | Other | 2V5967 | OXFORD |
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