Pravda, Jeffrey T
Pravda, Jeffrey T is an individual health care provider with primary practice located at 863 N. Main St. Ext. Suite 200, Wallingford CT 06492-1832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Pravda, Jeffrey T can be contacted via phone (203) 265-3280.Contact Information
Primary practice address
863 N. Main St. Ext. Suite 200
Wallingford CT 06492-1832
Phone: (203) 265-3280
Fax: (203) 741-6569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 030667 | Connecticut |
Profile Details
| NPI number | 1407879521 |
|---|---|
| LBN Legal business name | Pravda, Jeffrey T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 11th, 2011 - about 13 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 | 1407879521 | NPPES |
| Connecticut | MEDICAID | 001306671 |
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