Mugo, Patti
Mugo, Patti is an individual health care provider with primary practice located at 4 Shaws Cv Ste 103 , New London CT 06320-4956. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mugo, Patti can be contacted via phone (860) 443-3778.Contact Information
Primary practice address
4 Shaws Cv Ste 103
New London CT 06320-4956
Phone: (860) 443-3778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 51076 | Arizona |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 29375 | Oklahoma |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 066927 | Connecticut |
Profile Details
| NPI number | 1013272988 |
|---|---|
| LBN Legal business name | Mugo, Patti |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2012 |
| Last updated | Dec 7th, 2020 - about 6 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 | 1013272988 | NPPES |
| Connecticut | Other | 066927 | CT LICENSE |
| Connecticut | MEDICAID | 067083 | CT LICENSE |
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