Petashnick, Daniel E.

Petashnick, Daniel E. is an individual health care provider with primary practice located at 732 Main St , Manchester CT 06040-5106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Petashnick, Daniel E. can be contacted via phone (860) 649-5177.

Contact Information

Primary practice address
732 Main St Manchester CT 06040-5106
Phone: (860) 649-5177
Fax: (860) 664-3490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 035638 Connecticut

Profile Details

NPI number 1437186251
LBN Legal business name Petashnick, Daniel E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Feb 4th, 2022 - about 3 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 1437186251 NPPES
Connecticut MEDICAID 1437186251
Connecticut MEDICAID 001356387

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