Salazar, Maximiliano
Salazar, Maximiliano is an individual health care provider with primary practice located at 55 Winthrop St , New Britain CT 06052-1728. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Salazar, Maximiliano can be contacted via phone (860) 224-8192.Contact Information
Primary practice address
55 Winthrop St
New Britain CT 06052-1728
Phone: (860) 224-8192
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CAC 23841 | Connecticut |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | SCCD 1201 | Connecticut |
Profile Details
NPI number | 1518001940 |
---|---|
LBN Legal business name | Salazar, Maximiliano |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 18th, 2007 |
Last updated | Jul 9th, 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 | 1518001940 | NPPES |
Connecticut | Other | 1174624423 | CMHA FACILITY NPI |
Connecticut | MEDICAID | 1942393814 | CMHA FACILITY NPI |
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