West, John Robert

West, John Robert is an individual health care provider with primary practice located at 34 Water Street Suite 2, Mystic CT 06355. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. West, John Robert can be contacted via phone (860) 572-9994.

Contact Information

Primary practice address
34 Water Street Suite 2 Mystic CT 06355
Phone: (860) 572-9994
Fax: (860) 572-9930
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X G61079 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 44204 Connecticut

Profile Details

NPI number 1487606117
LBN Legal business name West, John Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 28th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487606117 NPPES
Connecticut Other 010044204CT01 BLUE CROSS BLUE SHIELD

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