Roto, Dominick F
Roto, Dominick F is an sole proprietor health care provider with primary practice located at 145 Pomfret St , Putnam CT 06260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roto, Dominick F can be contacted via phone (860) 928-5248.Contact Information
Primary practice address
145 Pomfret St
Putnam CT 06260
Phone: (860) 928-5248
Fax: (860) 928-5286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 000328 | Connecticut |
Profile Details
| NPI number | 1245319136 |
|---|---|
| LBN Legal business name | Roto, Dominick F |
| Credentials | DO FAAFP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Apr 2nd, 2015 - about 11 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 | 1245319136 | NPPES |
| Connecticut | Other | 040000328CJ01 | BCBS |
| Connecticut | Other | 2962295 | BCBS |
| Connecticut | MEDICAID | 001003285 | BCBS |
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