Stewart, Michael Charles
Stewart, Michael Charles is an individual health care provider with primary practice located at 159 Trout Avenue , Groton CT 06349. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Stewart, Michael Charles can be contacted via phone (224) 623-3289.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1518301605 |
|---|---|
| LBN Legal business name | Stewart, Michael Charles |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2013 |
| Last updated | Apr 19th, 2013 - about 11 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 | 1518301605 | NPPES |
| Connecticut | Other | 3933 | MILITARY-INDEPENDENT DUTY CORPSMAN |
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