Petashnick, Daniel E.
Petashnick, Daniel E. is an individual health care provider with primary practice located at 732 Main St , Manchester CT 06040-5106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Petashnick, Daniel E. can be contacted via phone (860) 649-5177.Contact Information
Primary practice address
732 Main St
Manchester CT 06040-5106
Phone: (860) 649-5177
Fax: (860) 664-3490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 035638 | Connecticut |
Profile Details
| NPI number | 1437186251 |
|---|---|
| LBN Legal business name | Petashnick, Daniel E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Feb 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437186251 | NPPES |
| Connecticut | MEDICAID | 1437186251 | |
| Connecticut | MEDICAID | 001356387 |
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