Povilaitis, Richard
Povilaitis, Richard is an sole proprietor health care provider with primary practice located at 12 Woodside Ave , Middlebury CT 06762-2822. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Povilaitis, Richard can be contacted via phone (203) 598-0552.Contact Information
Primary practice address
12 Woodside Ave
Middlebury CT 06762-2822
Phone: (203) 598-0552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CT0002715 | Connecticut |
Profile Details
| NPI number | 1932314903 |
|---|---|
| LBN Legal business name | Povilaitis, Richard |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1932314903 | NPPES |
| Connecticut | Other | 11244097 | CAQH |
| Connecticut | Other | CT002715 | CAQH |
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