Ventulett, Robert Louis

Ventulett, Robert Louis is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Ventulett, Robert Louis can be contacted via phone (860) 271-4364.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4700
Phone: (860) 271-4364
Fax: (860) 444-5114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1680 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2933 Connecticut

Profile Details

NPI number 1518248954
LBN Legal business name Ventulett, Robert Louis
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2011
Last updated Jul 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518248954 NPPES
South Carolina MEDICAID 1236PA
South Carolina Other 1680

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