Desomma, Martin

Desomma, Martin is an sole proprietor health care provider with primary practice located at 276 Highland Ave , Waterbury CT 06708-3022. He recently has only one registered license in Chiropractic Providers / Occupational Health, which is considered as his primary health care specialty. Desomma, Martin can be contacted via phone (203) 753-6384.

Contact Information

Primary practice address
276 Highland Ave Waterbury CT 06708-3022
Phone: (203) 753-6384
Fax: (203) 759-1705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Occupational Health 111NX0100X 554 Connecticut

Profile Details

NPI number 1962405282
LBN Legal business name Desomma, Martin
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2005
Last updated Feb 9th, 2010 - about 16 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 1962405282 NPPES
Connecticut MEDICAID 004069530
Connecticut Other 050000554CT01

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