Houle, Alan Robert
Houle, Alan Robert is an individual health care provider with primary practice located at 1211 W Main St , Waterbury CT 06708-3106. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Houle, Alan Robert can be contacted via phone (203) 755-0163.Contact Information
Primary practice address
1211 W Main St
Waterbury CT 06708-3106
Phone: (203) 755-0163
Fax: (203) 574-5894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1891777918 |
|---|---|
| LBN Legal business name | Houle, Alan Robert |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Apr 29th, 2013 - about 13 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 | 1891777918 | NPPES |
| Connecticut | Other | 000637 | STATE LICENSE |
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