San Vicente, Joshua
San Vicente, Joshua is an individual health care provider with primary practice located at 28 Crescent St , Middletown CT 06457-3654. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. San Vicente, Joshua can be contacted via phone (860) 358-5322.Contact Information
Primary practice address
28 Crescent St
Middletown CT 06457-3654
Phone: (860) 358-5322
Fax: (860) 358-6298
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036371 | Connecticut |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036371 | Connecticut |
Profile Details
NPI number | 1912972720 |
---|---|
LBN Legal business name | San Vicente, Joshua |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2006 |
Last updated | Mar 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912972720 | NPPES |
Connecticut | Other | 036371 | CT LICENSE |
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