Minardi, Michael Derrick

Minardi, Michael Derrick is an individual health care provider with primary practice located at 538 Litchfield St Ste 102 , Torrington CT 06790-6669. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Minardi, Michael Derrick can be contacted via phone (860) 496-8990.

Contact Information

Primary practice address
538 Litchfield St Ste 102 Torrington CT 06790-6669
Phone: (860) 496-8990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4206 Connecticut

Profile Details

NPI number 1568943728
LBN Legal business name Minardi, Michael Derrick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2018
Last updated Aug 27th, 2018 - about 8 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 1568943728 NPPES
Connecticut Other 4206 PHYSICIAN ASSISTANT LICENSE

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