Proctor, Deborah Denise
Proctor, Deborah Denise is an individual health care provider with primary practice located at 55 Lock Street , New Haven CT 06511. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Proctor, Deborah Denise can be contacted via phone (203) 432-0076.Contact Information
Primary practice address
55 Lock Street
New Haven CT 06511
Phone: (203) 432-0076
Fax: (203) 432-7289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 037149 | Connecticut |
Profile Details
| NPI number | 1982687190 |
|---|---|
| LBN Legal business name | Proctor, Deborah Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jan 24th, 2012 - about 12 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 | 1982687190 | NPPES |
| Connecticut | MEDICAID | 001371492 |
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