Whittall, Eric
Whittall, Eric is an sole proprietor health care provider with primary practice located at 25 Water St , Guilford CT 06437-2861. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Whittall, Eric can be contacted via phone (203) 458-0661.Contact Information
Primary practice address
25 Water St
Guilford CT 06437-2861
Phone: (203) 458-0661
Fax: (203) 458-6068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 001947 | Connecticut |
Profile Details
| NPI number | 1568473098 |
|---|---|
| LBN Legal business name | Whittall, Eric |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 17th, 2008 - about 16 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 | 1568473098 | NPPES |
| Connecticut | MEDICAID | 004165363 |
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