Hommel, Mark P

Hommel, Mark P is an individual health care provider with primary practice located at 20 York St Ynhh (Children'S) Er Deparment, New Haven CT 06510-3220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hommel, Mark P can be contacted via phone (203) 688-7970.

Contact Information

Primary practice address
20 York St Ynhh (Children'S) Er Deparment New Haven CT 06510-3220
Phone: (203) 688-7970
Fax: (203) 688-4809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 035303 Connecticut

Profile Details

NPI number 1053394064
LBN Legal business name Hommel, Mark P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053394064 NPPES
Connecticut MEDICAID 001353036

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