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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518001940 NPPES
Connecticut Other 1174624423 CMHA FACILITY NPI
Connecticut MEDICAID 1942393814 CMHA FACILITY NPI

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