Bortnick, Eric Max
Bortnick, Eric Max is an sole proprietor health care provider with primary practice located at 789 Howard Ave # Fmp309 , New Haven CT 06519-1304. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Bortnick, Eric Max can be contacted via phone (203) 785-7671.Contact Information
Primary practice address
789 Howard Ave # Fmp309
New Haven CT 06519-1304
Phone: (203) 785-7671
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 77347 | Connecticut |
Profile Details
| NPI number | 1477915437 |
|---|---|
| LBN Legal business name | Bortnick, Eric Max |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2016 |
| Last updated | Sep 24th, 2024 - about 2 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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