Homer, Robert J
Homer, Robert J is an individual health care provider with primary practice located at 310 Cedar St Lauder Hall Rom 108, New Haven CT 06510-3218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Homer, Robert J can be contacted via phone (203) 785-3624.Contact Information
Primary practice address
310 Cedar St Lauder Hall Rom 108
New Haven CT 06510-3218
Phone: (203) 785-3624
Fax: (203) 785-7037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 031887 | Connecticut |
Profile Details
| NPI number | 1114909835 |
|---|---|
| LBN Legal business name | Homer, Robert J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jul 8th, 2008 - about 18 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 | 1114909835 | NPPES |
| Connecticut | MEDICAID | 001318874 |
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