Federer, Eric Anton

Federer, Eric Anton is an individual health care provider with primary practice located at 538 Litchfield St , Torrington CT 06790-6669. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Federer, Eric Anton can be contacted via phone (860) 489-5068.

Contact Information

Primary practice address
538 Litchfield St Torrington CT 06790-6669
Phone: (860) 489-5068
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 003074 Connecticut

Profile Details

NPI number 1174509095
LBN Legal business name Federer, Eric Anton
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jun 9th, 2011 - about 15 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 1174509095 NPPES
Connecticut MEDICAID 004243838

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