Blair, Charles Lee

Blair, Charles Lee is an sole proprietor health care provider with primary practice located at 836 Farmington Ave Ste 217B , West Hartford CT 06119-1545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Blair, Charles Lee can be contacted via phone (860) 523-1451.

Contact Information

Primary practice address
836 Farmington Ave Ste 217B West Hartford CT 06119-1545
Phone: (860) 523-1451
Fax: (860) 523-1437
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 024703 Connecticut

Profile Details

NPI number 1467591552
LBN Legal business name Blair, Charles Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Feb 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467591552 NPPES
Connecticut Other 010024703CT02 ANTHEM ID NUMBER
Connecticut MEDICAID 1247030 ANTHEM ID NUMBER

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