Beck, Jonathan D
Beck, Jonathan D is an sole proprietor health care provider with primary practice located at 11 Old Park Lane Rd , New Milford CT 06776-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beck, Jonathan D can be contacted via phone (860) 355-1149.Contact Information
Primary practice address
11 Old Park Lane Rd
New Milford CT 06776-2507
Phone: (860) 355-1149
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 042308 | Connecticut |
Profile Details
| NPI number | 1578631982 |
|---|---|
| LBN Legal business name | Beck, Jonathan D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Sep 11th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578631982 | NPPES |
| Connecticut | Other | 830401703 | TAX ID |
| Connecticut | MEDICAID | 008003881 | TAX ID |
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