Zagieboylo, Roy
Zagieboylo, Roy is an individual health care provider with primary practice located at 893 Main St Ste 101 , East Hartford CT 06108-2293. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zagieboylo, Roy can be contacted via phone (860) 528-2138.Contact Information
Primary practice address
893 Main St Ste 101
East Hartford CT 06108-2293
Phone: (860) 528-2138
Fax: (860) 528-0514
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 026357 | Connecticut |
Profile Details
NPI number | 1922060417 |
---|---|
LBN Legal business name | Zagieboylo, Roy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2006 |
Last updated | Jul 6th, 2021 - about 4 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 | 1922060417 | NPPES |
Connecticut | MEDICAID | 001263573 |
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