Kelly, John Patrick Washington
Kelly, John Patrick Washington is an individual health care provider with primary practice located at 1450 Chapel St Mob-2, New Haven CT 06511-4405. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Kelly, John Patrick Washington can be contacted via phone (203) 789-3156.Contact Information
Primary practice address
1450 Chapel St Mob-2
New Haven CT 06511-4405
Phone: (203) 789-3156
Fax: (203) 789-3954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 008783 | Connecticut |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 038903 | Connecticut |
Profile Details
| NPI number | 1386685022 |
|---|---|
| LBN Legal business name | Kelly, John Patrick Washington |
| Credentials | M.D., D.M.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Oct 12th, 2007 - about 19 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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