Segool, Richard Alan

Segool, Richard Alan is an individual health care provider with primary practice located at 115 Elm St , Enfield CT 06082-3712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Segool, Richard Alan can be contacted via phone (860) 745-3336.

Contact Information

Primary practice address
115 Elm St Enfield CT 06082-3712
Phone: (860) 745-3336
Fax: (860) 741-2654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 017320 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38299 Massachusetts

Profile Details

NPI number 1780686899
LBN Legal business name Segool, Richard Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 8th, 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 1780686899 NPPES
Massachusetts MEDICAID 2067919

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