Dockett, Isaiah Darnell

Dockett, Isaiah Darnell is an individual health care provider with primary practice located at 1 Long Wharf Dr Ste 321 , New Haven CT 06511-5946. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Dockett, Isaiah Darnell can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
1 Long Wharf Dr Ste 321 New Haven CT 06511-5946
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1488 Connecticut

Profile Details

NPI number 1043924178
LBN Legal business name Dockett, Isaiah Darnell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2023
Last updated Feb 6th, 2023 - about last year

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 1043924178 NPPES
Connecticut MEDICAID 008023170
Connecticut MEDICAID 008024427
Connecticut MEDICAID 008115789
Connecticut MEDICAID 008109605
Connecticut MEDICAID 008042339

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