Rehkamp, George J

Rehkamp, George J is an individual health care provider with primary practice located at 141 E Main St , Waterbury CT 06702. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Rehkamp, George J can be contacted via phone (203) 574-9000.

Contact Information

Primary practice address
141 E Main St Waterbury CT 06702
Phone: (203) 574-9000
Fax: (203) 574-9006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1221 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 3366 Connecticut

Profile Details

NPI number 1366738072
LBN Legal business name Rehkamp, George J
Credentials AS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2011
Last updated Jul 28th, 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 1366738072 NPPES
Connecticut Other CAC-5287 CONNECTICUT CERTIFICATION BOARD, INC
Connecticut Other CIT-5287 CONNECTICUT CERTIFICATION BOARD, INC
Connecticut Other ICADC-5287 CONNECTICUT CERTIFICATION BOARD, INC

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