Ianello, Joseph L
Ianello, Joseph L is an individual health care provider with primary practice located at 113 Elm St Ste 303, Enfield CT 06082-3739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ianello, Joseph L can be contacted via phone (860) 253-6867.Contact Information
Primary practice address
113 Elm St Ste 303
Enfield CT 06082-3739
Phone: (860) 253-6867
Fax: (860) 741-4399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 031644 | Connecticut |
Profile Details
| NPI number | 1902900525 |
|---|---|
| LBN Legal business name | Ianello, Joseph L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Jul 9th, 2020 - about 6 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 | 1902900525 | NPPES |
| Connecticut | MEDICAID | 001316448 |
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