Perkel, Jason Mark

Perkel, Jason Mark is an individual health care provider with primary practice located at 538 Litchfield St Suite G-02, Torrington CT 06790-6669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Perkel, Jason Mark can be contacted via phone (860) 489-5068.

Contact Information

Primary practice address
538 Litchfield St Suite G-02 Torrington CT 06790-6669
Phone: (860) 489-5068
Fax: (860) 489-3725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 037971 Connecticut

Profile Details

NPI number 1093703142
LBN Legal business name Perkel, Jason Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jun 9th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093703142 NPPES
Connecticut MEDICAID 001379719

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