Demarest, Kenneth
Demarest, Kenneth is an sole proprietor health care provider with primary practice located at 740 Maple Ave , Hartford CT 06114-2314. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Demarest, Kenneth can be contacted via phone (860) 296-0090.Contact Information
Primary practice address
740 Maple Ave
Hartford CT 06114-2314
Phone: (860) 296-0090
Fax: (860) 296-1520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 001360 | Connecticut |
Profile Details
| NPI number | 1134133846 |
|---|---|
| LBN Legal business name | Demarest, Kenneth |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1134133846 | NPPES |
| Connecticut | Other | 10450156 | CAQH |
| Connecticut | Other | 7163301 | CAQH |
| Connecticut | Other | CT0847 | CAQH |
| Connecticut | Other | 050001360CT04 | CAQH |
| Connecticut | Other | 1289267 | CAQH |
| Connecticut | Other | 1034337 | CAQH |
| Connecticut | Other | 001360 | CAQH |
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