Alonso, Luis

Alonso, Luis is an individual health care provider with primary practice located at 1062 Barnes Road Suite 102, Wallingford CT 06492. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Alonso, Luis can be contacted via phone (203) 294-6328.

Contact Information

Primary practice address
1062 Barnes Road Suite 102 Wallingford CT 06492
Phone: (203) 294-6328
Fax: (203) 294-6346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 016387 Connecticut
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 016387 Connecticut

Profile Details

NPI number 1992864359
LBN Legal business name Alonso, Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 7th, 2011 - about 14 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 1992864359 NPPES
Other 0Q2160 HEALTHNET
Other P387376 HEALTHNET
Other 749832 HEALTHNET
Other 83192 HEALTHNET
MEDICAID 001163872 HEALTHNET

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