Rivera, John Edwin
Rivera, John Edwin is an individual health care provider with primary practice located at 20 York St Cb-2041 Hospitalist Service, New Haven CT 06504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Rivera, John Edwin can be contacted via phone (203) 688-4748.Contact Information
Primary practice address
20 York St Cb-2041 Hospitalist Service
New Haven CT 06504
Phone: (203) 688-4748
Fax: (203) 688-4740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 042567 | Connecticut |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 042567 | Connecticut |
Profile Details
| NPI number | 1720044811 |
|---|---|
| LBN Legal business name | Rivera, John Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Mar 10th, 2008 - 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 | 1720044811 | NPPES |
| Connecticut | Other | 042567 | STATE MEDICAL LICENSE |
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