Immerman, Barry Howard

Immerman, Barry Howard is an individual health care provider with primary practice located at 99 E River Dr 5Th Floor, East Hartford CT 06108-3288. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Immerman, Barry Howard can be contacted via phone (860) 282-4022.

Contact Information

Primary practice address
99 E River Dr 5Th Floor East Hartford CT 06108-3288
Fax: (860) 289-0746
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 035385 Connecticut

Profile Details

NPI number 1972597508
LBN Legal business name Immerman, Barry Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated May 6th, 2014 - about 12 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 1972597508 NPPES
Connecticut MEDICAID 001353854

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