Brill, David Alan
Brill, David Alan is an individual health care provider with primary practice located at 196 Parkway South Suite 103, Waterford CT 06385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Brill, David Alan can be contacted via phone (860) 443-4383.Contact Information
Primary practice address
196 Parkway South Suite 103
Waterford CT 06385
Phone: (860) 443-4383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301080713 | Michigan |
Profile Details
| NPI number | 1437146404 |
|---|---|
| LBN Legal business name | Brill, David Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Nov 29th, 2018 - about 8 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 | 1437146404 | NPPES |
| Michigan | MEDICAID | 4906084 | |
| Michigan | MEDICAID | 4909980 |
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