Tsipouras, Petros
Tsipouras, Petros is an individual health care provider with primary practice located at 65 Kane St , West Hartford CT 06119-2110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cytogenetic, which is considered as his primary health care specialty. Tsipouras, Petros can be contacted via phone (860) 523-6464.Contact Information
Primary practice address
65 Kane St
West Hartford CT 06119-2110
Phone: (860) 523-6464
Fax: (860) 523-6465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cytogenetic | 207SC0300X | 027923 | Connecticut |
Profile Details
| NPI number | 1699772962 |
|---|---|
| LBN Legal business name | Tsipouras, Petros |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jun 15th, 2012 - about 12 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 | 1699772962 | NPPES |
| Connecticut | MEDICAID | 1279231 |
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