Konopaske, Glenn

Konopaske, Glenn is an individual health care provider with primary practice located at Uconn Health Dept. Of Psychiatry, 263 Farmington Ave, Farmington CT 06030-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Konopaske, Glenn can be contacted via phone (860) 679-1105.

Contact Information

Primary practice address
Uconn Health Dept. Of Psychiatry, 263 Farmington Ave Farmington CT 06030-0001
Phone: (860) 679-1105
Fax: (860) 679-1489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 40112 Connecticut

Profile Details

NPI number 1386613354
LBN Legal business name Konopaske, Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 26th, 2022 - about 4 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 1386613354 NPPES
Pennsylvania MEDICAID 1013004610001

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