Wissuchek, Ronald Joel

Wissuchek, Ronald Joel is an sole proprietor health care provider with primary practice located at 1291 Albany Ave , Hartford CT 06112-2198. He recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as his primary health care specialty. Wissuchek, Ronald Joel can be contacted via phone (860) 560-1881.

Contact Information

Primary practice address
1291 Albany Ave Hartford CT 06112-2198
Phone: (860) 560-1881
Fax: (860) 560-0614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 0006212 Connecticut

Profile Details

NPI number 1114226248
LBN Legal business name Wissuchek, Ronald Joel
Credentials PHARMACISTS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2011
Last updated Mar 15th, 2011 - about 13 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 1114226248 NPPES
Connecticut Other 0006212 CONNECTICUT STATE PHARMACIST LIC

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