Peralta, Michael Noel Alonzo

Peralta, Michael Noel Alonzo is an individual health care provider with primary practice located at 1 Wahoo Ave , Groton CT 06349-2324. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Peralta, Michael Noel Alonzo can be contacted via phone (860) 581-0090.

Contact Information

Primary practice address
1 Wahoo Ave Groton CT 06349-2324
Phone: (860) 581-0090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1811470628
LBN Legal business name Peralta, Michael Noel Alonzo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2018
Last updated Sep 8th, 2018 - about 6 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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