Traub, Douglas S
Traub, Douglas S is an individual health care provider with primary practice located at 454 Prospect St , Torrington CT 06790-4937. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Traub, Douglas S can be contacted via phone (860) 482-8750.Contact Information
Primary practice address
454 Prospect St
Torrington CT 06790-4937
Phone: (860) 482-8750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 005414 | Connecticut |
Profile Details
| NPI number | 1992701643 |
|---|---|
| LBN Legal business name | Traub, Douglas S |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1992701643 | NPPES |
| Connecticut | MEDICAID | DO 5414 SUFFIX TR |
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