West, Edmund A P

West, Edmund A P is an individual health care provider with primary practice located at 56 Whitehall Ave Rt 27, Mystic CT 06355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. West, Edmund A P can be contacted via phone (860) 572-8282.

Contact Information

Primary practice address
56 Whitehall Ave Rt 27 Mystic CT 06355
Phone: (860) 572-8282
Fax: (860) 572-7445
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 015603 Connecticut

Profile Details

NPI number 1154347250
LBN Legal business name West, Edmund A P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 30th, 2015 - about 10 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 1154347250 NPPES
Connecticut Other 010015603CT02 CTBC
Connecticut Other 119004722 CTBC
Connecticut Other 47229 CTBC

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