Pet, Pacey
Pet, Pacey is an individual health care provider with primary practice located at 146 Danbury Rd , New Milford CT 06776-3427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pet, Pacey can be contacted via phone (860) 799-5900.Contact Information
Primary practice address
146 Danbury Rd
New Milford CT 06776-3427
Phone: (860) 799-5900
Fax: (860) 799-5902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 30074 | Connecticut |
Profile Details
| NPI number | 1407828700 |
|---|---|
| LBN Legal business name | Pet, Pacey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Mar 3rd, 2017 - about 7 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 | 1407828700 | NPPES |
| Connecticut | Other | 4329521 | AETNA |
| Connecticut | Other | 730074 | AETNA |
| Connecticut | Other | 9896287 | AETNA |
| Connecticut | Other | P4302536 | AETNA |
| Connecticut | MEDICAID | 004068508 | AETNA |
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