Service, Kerian
Service, Kerian is an individual health care provider with primary practice located at 150 N Main St , Manchester CT 06042-2003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Service, Kerian can be contacted via phone (860) 528-1359.Contact Information
Primary practice address
150 N Main St
Manchester CT 06042-2003
Phone: (860) 528-1359
Fax: (860) 290-4142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 049742 | Connecticut |
Profile Details
| NPI number | 1598925612 |
|---|---|
| LBN Legal business name | Service, Kerian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2008 |
| Last updated | Dec 23rd, 2011 - about 14 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 | 1598925612 | NPPES |
| Connecticut | MEDICAID | 007228810 |
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