Wisch, Douglas C

Wisch, Douglas C is an individual health care provider with primary practice located at 245 Alvord Park Rd , Torrington CT 06790. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Wisch, Douglas C can be contacted via phone (860) 482-8539.

Contact Information

Primary practice address
245 Alvord Park Rd Torrington CT 06790
Phone: (860) 482-8539
Fax: (860) 482-0258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 032872 Connecticut
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 032872 Connecticut
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 032872 Connecticut

Profile Details

NPI number 1710931738
LBN Legal business name Wisch, Douglas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jun 17th, 2021 - about 3 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 1710931738 NPPES
Connecticut Other 010032872CT01 BC
Connecticut Other 2205151 BC
Connecticut MEDICAID 001328724 BC

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