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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962405282 | NPPES |
| Connecticut | MEDICAID | 004069530 | |
| Connecticut | Other | 050000554CT01 |
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