Kanelos, Peter Theodore
Kanelos, Peter Theodore is an individual health care provider with primary practice located at 114 Woodland St , Hartford CT 06105-1208. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kanelos, Peter Theodore can be contacted via phone (860) 714-6654.Contact Information
Primary practice address
114 Woodland St
Hartford CT 06105-1208
Phone: (860) 714-6654
Fax: (860) 714-8110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0570757 | Connecticut |
Profile Details
| NPI number | 1568623189 |
|---|---|
| LBN Legal business name | Kanelos, Peter Theodore |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2008 |
| Last updated | Apr 13th, 2012 - about 14 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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