Rockwell, William James

Rockwell, William James is an sole proprietor health care provider with primary practice located at 4675 Main St , Bridgeport CT 06606-1813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Rockwell, William James can be contacted via phone (203) 374-6103.

Contact Information

Primary practice address
4675 Main St Bridgeport CT 06606-1813
Fax: (203) 374-1663
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 017143 Connecticut

Profile Details

NPI number 1285630798
LBN Legal business name Rockwell, William James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Nov 21st, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285630798 NPPES
Connecticut MEDICAID 1171438
Connecticut Other 0V0522
Connecticut Other 01-0017143CT01
Connecticut Other P381229

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