Jones, Peter David
Jones, Peter David is an sole proprietor health care provider with primary practice located at 14 Quarry St , Willimantic CT 06226-1232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jones, Peter David can be contacted via phone (860) 423-8020.Contact Information
Primary practice address
14 Quarry St
Willimantic CT 06226-1232
Phone: (860) 423-8020
Fax: (860) 456-8288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 019026 | Connecticut |
Profile Details
| NPI number | 1619934296 |
|---|---|
| LBN Legal business name | Jones, Peter David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Dec 16th, 2009 - about 17 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 | 1619934296 | NPPES |
| Connecticut | Other | 00119026300 | BLUECARE FAMILY PLAN |
| Connecticut | Other | 782359 | BLUECARE FAMILY PLAN |
| Connecticut | Other | 030188 | BLUECARE FAMILY PLAN |
| Connecticut | Other | WIP002 | BLUECARE FAMILY PLAN |
| Connecticut | MEDICAID | 001190263 | BLUECARE FAMILY PLAN |
| Connecticut | Other | 010019026CT01 | BLUECARE FAMILY PLAN |
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