Wetmore, Charles F

Wetmore, Charles F is an sole proprietor health care provider with primary practice located at 13 Peck St , North Haven CT 06473-2308. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Wetmore, Charles F can be contacted via phone (203) 239-4627.

Contact Information

Primary practice address
13 Peck St North Haven CT 06473-2308
Phone: (203) 239-4627
Fax: (203) 234-8533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 002351 Connecticut

Profile Details

NPI number 1881713345
LBN Legal business name Wetmore, Charles F
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Jan 30th, 2014 - 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 1881713345 NPPES
Connecticut MEDICAID 008017640

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