Poulin, Serge Peter
Poulin, Serge Peter is an sole proprietor health care provider with primary practice located at 315 E. Center St , Manchester CT 06040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Poulin, Serge Peter can be contacted via phone (860) 649-6900.Contact Information
Primary practice address
315 E. Center St
Manchester CT 06040
Phone: (860) 649-6900
Fax: (860) 647-0469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 027117 | Connecticut |
Profile Details
| NPI number | 1215954938 |
|---|---|
| LBN Legal business name | Poulin, Serge Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | May 11th, 2010 - about 16 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 | 1215954938 | NPPES |
| Connecticut | MEDICAID | 027117 | |
| Connecticut | MEDICAID | 001271171 |
Popular Providers
-
Pilagin, Loretta Johnson
375 E Center St , Manchester CT 06040-4445 -
Han, Minh A
935 Main St Level G, Suite 1B, Manchester CT 06040-6059 -
Cadman, Karen
515 Middle Tpke W , Manchester CT 06040-3816 -
Brooks, Neil
385 W Center St , Manchester CT 06040-4738 -
Keibel, Martin Mark
574 Middle Tpke E , Manchester CT 06040-3730 -
Phillips, Barbara Louise
574 Middle Tpke E , Manchester CT 06040-3730 -
Mathews, Remi
130 Hartford Rd , Manchester CT 06040-5921 -
Doran, James R
629 Middle Tpke E , Manchester CT 06040-3731