Miner, David Joseph
Miner, David Joseph is an individual health care provider with primary practice located at 535 Saybrook Rd Ste 5 , Middletown CT 06457-4743. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Miner, David Joseph can be contacted via phone (860) 344-8606.Contact Information
Primary practice address
535 Saybrook Rd Ste 5
Middletown CT 06457-4743
Phone: (860) 344-8606
Fax: (860) 344-8963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 026312 | Connecticut |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 026312 | Connecticut |
Profile Details
| NPI number | 1225125933 |
|---|---|
| LBN Legal business name | Miner, David Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jan 5th, 2024 - about 2 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 | 1225125933 | NPPES |
| Connecticut | Other | 026312 | STATE LICENSE |
| Connecticut | MEDICAID | 4064721 | STATE LICENSE |
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